Published in Health affairs (Project Hope)
Recent concerted efforts have sought to shift provider payment away from fee-for-service and toward risk-based alternatives. Despite these efforts, fee-for-service not only remains the dominant payment method but has continued to grow, with nearly 95 percent of all physician office visits in 2013 reimbursed in this fashion.
Published in Journal of medical ethics
Multiple sclerosis (MS) is a chronic neurological disorder for which there is no definitive diagnostic test. Uncertainty characterises most of its features with diagnosis reached through a process of elimination. Coping with uncertainty has been recognised as a significant problem for MS patients. Discussions in the literature concerning the ethics...
Published in Journal of medical ethics
The CECs in Madrid, Spain, have developed a significant number of CEPs (30 in total and 10 in process) and there is a trend towards continued development. The most frequent topics are ethical problems at the end of life and refusal of treatment by the patient.
Published in Health affairs (Project Hope)
In recent years there has been a significant expansion in the use of provider performance measures for quality improvement, payment, and public reporting. Using data from a survey of health plans, we characterize the use of such performance measures by private payers. We also compare the use of these measures among selected private and public progr...
Published in Medicare & medicaid research review
We find that changes in financial incentives on both the supply-side (such as reimbursement increases) and the demand-side (i.e., benefit changes) alone may not be enough to generate the desired levels of preventive care, especially among those with chronic health conditions.
Although the prevalence and burden of chronic illness is immense and growing, national studies have found minimal use of evidence-based practices to improve the management and care provided for patients with these conditions. A productive body of work has identified facilitators and barriers to the use of care management processes (CMPs) in large p...
Although the prevalence and burden of chronic illness is immense and growing, national studies have found minimal use of evidence-based practices to improve the management and care provided for patients with these conditions. A productive body of work has identified facilitators and barriers to the use of care management processes (CMPs) in large p...
Although the prevalence and burden of chronic illness is immense and growing, national studies have found minimal use of evidence-based practices to improve the management and care provided for patients with these conditions. A productive body of work has identified facilitators and barriers to the use of care management processes (CMPs) in large p...
Although the prevalence and burden of chronic illness is immense and growing, national studies have found minimal use of evidence-based practices to improve the management and care provided for patients with these conditions. A productive body of work has identified facilitators and barriers to the use of care management processes (CMPs) in large p...
Although the prevalence and burden of chronic illness is immense and growing, national studies have found minimal use of evidence-based practices to improve the management and care provided for patients with these conditions. A productive body of work has identified facilitators and barriers to the use of care management processes (CMPs) in large p...
