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Health care quality measurement and reporting have grown rapidly during the past decade and now enjoy wide support. The CAHPS surveys, funded by the Agency for Healthcare Research and Quality since 1995, have been a key part of the effort to generate scientifically sound measures of consumer...
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This white paper describes how current financial incentives in the fee-for-service (FFS) system can lead to the over- and underuse of services at the point of care by physicians and other clinicians. It explores prominent payment reform models and concludes that no single approach consistently...
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This issue brief for the Robert Wood Johnson Foundation gives an overview of how the field of health care disparities has evolved in recent years to identify emerging perspectives, progress and current activity, and outstanding needs. The paper focuses specifically on health care disparities,...
Persistent link: https://www.econbiz.de/10010838239
Mathematica health experts collaborated with staff at the Kaiser Commission for Medicaid and the Uninsured to author this brief, the second of three case studies examining key operational aspects of coordinated care initiatives in Medicaid, which focuses on the Transitional Care Program...
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With federal and state governments pursuing efforts to better coordinate care and reduce costs for people dually eligible for both Medicare and Medicaid, this brief examines how insurers serving these markets view the opportunities and challenges. Based on interviews with senior executives at 13...
Persistent link: https://www.econbiz.de/10011122065
Examines M+C participation issues from the perspective of eight national firms that account for more than 70 percent of M+C enrollment nationwide. Notes that M+C products generally do not represent a major line of business for most firms, with the exception of Humana and PacifiCare, where M+C...
Persistent link: https://www.econbiz.de/10011100673