Value-based purchasing for physician services.
Growth in Medicare expenditures has forced legislators and policymakers to look for ways to slow spending and get more value for their money. This article reviews previous federal efforts to control Medicare costs as well as current ones required by the Patient Protection and Affordable Care Act. It also describes a proposal for value-based purchasing that the authors developed under contract to the Centers for Medicare and Medicaid Services. This approach uses two measurement systems-one for physicians who practice primarily in outpatient settings and one for physicians who practice primarily in the hospital.
Division of Health Policy and Management, University of Minnesota School of Public Health, USA.
Bryan E
BE
Dowd
Shriram
S
Parashuram
Tami
T
Swenson
Robert
R
Kane
Robert
R
Coulam
David
D
Knutson
D003363:Cost Control / Q000191:economics / Q000331:legislation & jurisprudence; D006801:Humans; D007357:Insurance, Physician Services / Q000191:economics* / Q000331:legislation & jurisprudence*; D008484:Medicaid / Q000191:economics* / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000191:economics* / Q000331:legislation & jurisprudence*; D008910:Minnesota; D058991:Patient Protection and Affordable Care Act / Q000191:economics* / Q000331:legislation & jurisprudence*; D014481:United States; D062505:Value-Based Purchasing / Q000191:economics* / Q000331:legislation & jurisprudence*