title: Dividing a trillion-dollar pie.
abstract: Four trends are likely to dominate development of healthcare payments in coming years: Consolidation and dissemination of new methods used by Medicare to pay for outpatient hospital care, skilled nursing care, home health care, and specialty hospital care. A return to 1990s-style struggles over risk allocation between providers and private-sector payers. Growing experimentation with paying for quality, especially in the hospital sector An uneven pace of change, reflecting shifts in bargaining power and technical challenges in designing and implementing new methods.
authors.affiliation: kevin.quinn@acs-inc.com
authors.forename: Kevin
authors.initials: K
authors.lastname: Quinn
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D003695:Delivery of Health Care / Q000191:economics*; D003953:Diagnosis-Related Groups; D007343:Insurance Carriers / Q000191:economics*; D006278:Medicare; D012051:Reimbursement Mechanisms / Q000639:trends*; D014481:United States