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Effects of health care payment models on physician practice in the United States Cover Image E-book

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

Friedberg, Mark W., (author.). American Medical Association. (Added Author). RAND Health. (Added Author).

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.

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Record details

  • Physical Description: 1 online resource (xxii, 119 pages)
  • Publisher: Santa Monica, Calif. : RAND Corporation, [2015]

Content descriptions

General Note:
"RAND Health."
"RR-869-AMA"--Page 4 of cover.
"Sponsored by the American Medical Association."
Bibliography, etc. Note:
Includes bibliographical references (pages 109-119).
Formatted Contents Note:
Ch. 1. Introduction -- pt. 1. Model, background, and methods -- ch. 2. Conceptual model -- ch. 3. Background: scan of the literature on effects of payment models on physician practice -- ch. 4. Methods -- pt. 2. Results -- ch. 6. Changes in practice operations -- ch. 7. Increased importance of data and data analysis -- ch. 8. Interactions among payment programs and between payment programs and government regulations -- ch. 9. Physician incentives and compensation -- ch. 10. Physician work and professional satisfaction -- ch. 11. Factors limiting the fffectiveness of new payment models as implemented -- ch. 12. Conclusions -- Appendix. Advisory committee members.
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.
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.
Language Note:
English.
Source of Description Note:
Print version record.

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Subject:
Medical care > United States > Cost control.
Medical fees > United States.
Physician practice patterns > United States.

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1001 . ‡aFriedberg, Mark W., ‡eauthor.
24510. ‡aEffects of health care payment models on physician practice in the United States ‡h[electronic resource] / ‡cMark W. Friedberg [and 12 others].
264 1. ‡aSanta Monica, Calif. : ‡bRAND Corporation, ‡c[2015]
264 4. ‡c©2015
300 . ‡a1 online resource (xxii, 119 pages)
336 . ‡atext ‡btxt ‡2rdacontent
337 . ‡acomputer ‡bc ‡2rdamedia
338 . ‡aonline resource ‡bcr ‡2rdacarrier
500 . ‡a"RAND Health."
500 . ‡a"RR-869-AMA"--Page 4 of cover.
500 . ‡a"Sponsored by the American Medical Association."
504 . ‡aIncludes bibliographical references (pages 109-119).
50500. ‡gCh. 1. ‡tIntroduction -- ‡gpt. 1. ‡tModel, background, and methods -- ‡gch. 2. ‡tConceptual model -- ‡gch. 3. ‡tBackground: scan of the literature on effects of payment models on physician practice -- ‡gch. 4. ‡tMethods -- ‡gpt. 2. ‡tResults -- ‡gch. 6. ‡tChanges in practice operations -- ‡gch. 7. ‡tIncreased importance of data and data analysis -- ‡gch. 8. ‡tInteractions among payment programs and between payment programs and government regulations -- ‡gch. 9. ‡tPhysician incentives and compensation -- ‡gch. 10. ‡tPhysician work and professional satisfaction -- ‡gch. 11. ‡tFactors limiting the fffectiveness of new payment models as implemented -- ‡gch. 12. ‡tConclusions -- ‡gAppendix. ‡tAdvisory committee members.
50500. ‡gCh. Five ‡tChanges in Organizational Structure -- ‡tOverview of Findings -- ‡tDetailed Findings -- ‡tComparison Between Current Findings and Previously Published Research -- ‡gch. Six ‡tChanges in Practice Operations -- ‡tOverview of Findings -- ‡tDetailed Findings -- ‡tComparison Between Current Findings and Previously Published Research -- ‡gch. Seven ‡tIncreased Importance of Data and Data Analysis -- ‡tOverview of Findings -- ‡tDetailed Findings -- ‡tComparison Between Current Findings and Previously Published Research -- ‡gch. Eight ‡tInteractions Among Payment Programs and Between Payment Programs and Government Regulations -- ‡tOverview of Findings -- ‡tDetailed Findings -- ‡tComparison Between Current Findings and Previously Published Research.
50500. ‡gCh. Nine ‡tPhysician Incentives and Compensation -- ‡tOverview of Findings -- ‡tDetailed Findings -- ‡tComparison Between Current Findings and Previously Published Research -- ‡gch. Ten ‡tPhysician Work and Professional Satisfaction -- ‡tOverview of Findings -- ‡tDetailed Findings -- ‡tComparison Between Current Findings and Previously Published Research -- ‡gch. Eleven ‡tFactors Limiting the Effectiveness of New Payment Models as Implemented -- ‡tOverview of Findings -- ‡tDetailed Findings -- ‡tComparison Between Current Findings and Previously Published Research -- ‡gch. Twelve ‡tConclusions -- ‡tChallenges and Opportunities for Physicians and Physician Practices -- ‡tChallenges and Opportunities for Health Plans -- ‡tChallenges and Opportunities for Hospitals -- ‡tChallenges and Opportunities for Vendors of Electronic Health Record Systems -- ‡tChallenges and Opportunities for Regulators -- ‡tClosing.
50500. ‡gMachine generated contents note: ‡gch. ONE ‡tIntroduction -- ‡tOrganization of This Report -- ‡gpt. ONE ‡tModel, Background, and Methods -- ‡gch. Two ‡tConceptual Model -- ‡gch. Three ‡tBackground: Scan of the Literature on Effects of Payment Models on Physician Practice -- ‡tOverview -- ‡tPayment Models Included in the Scan -- ‡tSupplementary Payment Models -- ‡tOrganizational Models That Combine Payment Models -- ‡tAlternative Payment Models: Existing Evidence on Prevalence and Effects on Physician Practice Outcomes -- ‡gch. Four ‡tMethods -- ‡tOverview of Methodological Approach -- ‡tJustification for Qualitative Methods -- ‡tData Collection -- ‡tData Analysis -- ‡tLimitations -- ‡gpt. TWO ‡tResults.
520 . ‡aThe 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.
546 . ‡aEnglish.
5880 . ‡aPrint version record.
650 0. ‡aMedical care ‡zUnited States ‡xCost control. ‡0(CARDINAL)334398
650 0. ‡aMedical fees ‡zUnited States. ‡0(CARDINAL)298817
650 0. ‡aPhysician practice patterns ‡zUnited States.
7102 . ‡aAmerican Medical Association. ‡0(CARDINAL)121216
7102 . ‡aRAND Health. ‡0(CARDINAL)856097
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