Accounting for Social Risk Factors in Medicare Payment Data 1st Edition by Donald M. Steinwachs, Kathleen Stratton, Leslie Y. Kwan 0309448026 9780309448024

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Product details:

ISBN 10: 0309448026
ISBN 13: 9780309448024
Author: Donald M. Steinwachs, Kathleen Stratton, Leslie Y. Kwan

Recent health care payment reforms aim to improve the alignment of Medicare payment strategies with goals to improve the quality of care provided, patient experiences with health care, and health outcomes, while also controlling costs. These efforts move Medicare away from the volume-based payment of traditional fee-for-service models and toward value-based purchasing, in which cost control is an explicit goal in addition to clinical and quality goals. Specific payment strategies include pay-for-performance and other quality incentive programs that tie financial rewards and sanctions to the quality and efficiency of care provided and accountable care organizations in which health care providers are held accountable for both the quality and cost of the care they deliver.

Accounting for Social Risk Factors in Medicare Payment Data 1st Table of contents:

Chapter 1 Introduction to Social Risk Factors and Medicare
Chapter 2 Conceptual Frameworks and Definitions
Chapter 3 Data Sources and Measurement Challenges
Chapter 4 Social Risk Factors and Health Outcomes
Chapter 5 Risk Adjustment in Medicare Payment
Chapter 6 Implications for Quality Measurement
Chapter 7 Policy Considerations and Equity
Chapter 8 Case Studies and Empirical Evidence
Chapter 9 Recommendations for Data and Research
Chapter 10 Future Directions in Medicare Policy

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Tags: Accounting, Social Risk Factors, Medicare Payment Data, Medicine Engineering National Academies Of Sciences