Journal
HEALTH AFFAIRS
Volume 28, Issue 2, Pages W219-W231Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.28.2.w219
Keywords
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Funding
- NIA NIH HHS [P01 AG19783, P01 AG019783, P01 AG019783-07] Funding Source: Medline
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To succeed, health care reform must slow spending growth while improving quality. We propose a new approach to help achieve more integrated and efficient care by fostering local organizational accountability for quality and costs through performance measurement and shared savings payment reform. The approach is practical and feasible: it is voluntary for providers, builds on current referral patterns, requires no change in benefits or lock-in for beneficiaries, and offers the possibility of sustained provider incomes even as total costs are constrained. We simulate the potential expenditure impact and show that significant Medicare savings are possible. [Health Affairs 28, no. 2 (2009): w219-w231 (published online 27 January 2009; 10.1377/hlthaff.28.2.w219)]
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