Research Catalog

Title

Effects of health care payment models on physician practice in the United States / Mark W. Friedberg [and 12 others]

Author

Friedberg, Mark W.

Publication

Santa Monica, Calif. : RAND Corporation, [2015]

Items in the Library & Off-site

Holdings

Details

Additional Authors

• RAND Health
• American Medical Association

Description

xxii, 119 pages; 28 cm

Summary

The project reported here, sponsored by the American Medical Association (AMA), aimed to describe the effects that alternative health care payment models (i.e., models other than fee-for- service payment) have on physicians and physician practices in the United States. These payment models included capitation, episode-based and bundled payment, shared savings, pay for performance (PFP), and retainer-based practice. Accountable care organizations and medical homes, which are two recently expanding practice and organizational models that are based on one or more of these alternative payment models, were also included. Project findings are intended to help guide efforts by the AMA and other stakeholders to make improvements to current and future alternative payment programs and help physician practices succeed in these new payment models--i.e., to help practices simultaneously improve patient care, preserve or enhance physician professional satisfaction, satisfy multiple external stakeholders, and maintain economic viability as businesses. The report provides both findings and recommendations.

Subject

• Practice Management > organization & administration
• Practice Management > economics
• Reimbursement Mechanisms
• Medical care > United States > Cost control
• Medical fees > United States
• Physician practice patterns > United States
• United States

Note

• "RAND Health."
• "Sponsored by the American Medical Association."
• "RR-862-AMA."--Cover page 4.

Bibliography (note)

• Includes bibliographical references (pages 109-119).

Processing Action (note)

• committed to retain

Contents

• Machine generated contents note: ch. ONE Introduction -- Organization of This Report -- pt. ONE Model, Background, and Methods -- ch. Two Conceptual Model -- ch. Three Background: Scan of the Literature on Effects of Payment Models on Physician Practice -- Overview -- Payment Models Included in the Scan -- Supplementary Payment Models -- Organizational Models That Combine Payment Models -- Alternative Payment Models: Existing Evidence on Prevalence and Effects on Physician Practice Outcomes -- ch. Four Methods -- Overview of Methodological Approach -- Justification for Qualitative Methods -- Data Collection -- Data Analysis -- Limitations -- pt. TWO Results
• Ch. Five Changes in Organizational Structure -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Six Changes in Practice Operations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Seven Increased Importance of Data and Data Analysis -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eight Interactions Among Payment Programs and Between Payment Programs and Government Regulations -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research
• Ch. Nine Physician Incentives and Compensation -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Ten Physician Work and Professional Satisfaction -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Eleven Factors Limiting the Effectiveness of New Payment Models as Implemented -- Overview of Findings -- Detailed Findings -- Comparison Between Current Findings and Previously Published Research -- ch. Twelve Conclusions -- Challenges and Opportunities for Physicians and Physician Practices -- Challenges and Opportunities for Health Plans -- Challenges and Opportunities for Hospitals -- Challenges and Opportunities for Vendors of Electronic Health Record Systems -- Challenges and Opportunities for Regulators -- Closing.

ISBN

• 0833088947
• 9780833088949

OCLC

905521024

Owning Institutions

Harvard Library