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Title
Bringing managed care incentives to Medicare's fee-for-service sector.
First Author
Tompkins, Christopher P
Date of Pub
1996 Summer
Pages
43-63
Volume
17
Issue
4
Other Authors
Bhalotra, Sarita; Chilingerian, Jon A; Glavin, Mitchell P; Hodgkin, Dominic; Ritter, Grant A; Wallack, Stanley S
Abstract
The Health Care Financing Administration (HCFA) could work with eligible physician organizations to generate savings in total reimbursements for their Medicare patients. Medicare would continue to reimburse all providers according to standard payment policies and mechanisms, and beneficiaries would retain the freedom to choose providers. However, implementation of new financial incentives, based on meeting targets called Group-Specific Volume Performance Standards (GVPS), would encourage cost-effective service delivery patterns. HCFA could use new and existing data systems to monitor access, utilization patterns, cost outcomes and quality of care. In short, HCFA could manage providers, who, in turn, would manage their patients' care.
Abstract Continued
N/A
MeSH
Reimbursement, Incentive : Relative Value Scales : Capitation Fee : Cost Control : Fee-for-Service Plans/economics/utilization : Health Expenditures : Managed Care Programs/economics/utilization : Medicare Part B/economics/organization & administration : Support, U.S. Gov't, Non-P.H.S. : United States : United States Health Care Financing Administration : Utilization Review
NTIS Number
PB97-104087