This article reviews the recent research, policy, and conceptual literature on the effects of payment policy reforms on evidence-based clinical decision making by physicians at the point of care. Payment reforms include recalibration of existing fee structures in fee-for-service,...

This article dvelops a framework for understanding how financial and nonfinancial incentives can complicate point-of-care decision making by physicians, leading to the over- or under-use of health care services. The analysis highlights contributing factors that promote and impede evidence-based...

This article reviews the recent research, policy, and conceptual literature on the effects of payment policy reforms on evidence-based clinical decision making by physicians at the point of care. Payment reforms include recalibration of existing fee structures in fee-for-service,...

This article dvelops a framework for understanding how financial and nonfinancial incentives can complicate point-of-care decision making by physicians, leading to the over- or under-use of health care services. The analysis highlights contributing factors that promote and impede evidence-based...

Explores a unique approach to performance measurement based on the Bayes theorem.

The Centers for Medicare & Medicaid Services (CMS) operates the Quality Improvement Organization (QIO) Program to ensure and improve the quality of health care for Medicare beneficiaries. This report presents the results of an independent evaluation of the ninth scope of work, QIO Program,...

A new policy analysis funded by the National Institute for Health Care Reform examines the appeal of episode-based payments as an alternative to the current fee-for-service model. The method bundles payment for some or all services for a specific health condition or event over a certain period...

A new policy analysis funded by the National Institute for Health Care Reform examines the appeal of episode-based payments as an alternative to the current fee-for-service model. The method bundles payment for some or all services for a specific health condition or event over a certain period...