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Health Law and Policy Commons

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Health Policy

Payment reform

Publication Year

Articles 1 - 9 of 9

Full-Text Articles in Health Law and Policy

Payment Reform For Kids, Robert W. Seifert Feb 2019

Payment Reform For Kids, Robert W. Seifert

Commonwealth Medicine Publications

Comprehensive care for children – including greater attention to behavioral health, socio-emotional development, and strong family relationships – may hold the key to lifelong health and well-being. With this premise, a group in Connecticut has just published recommendations for improving pediatric primary care through payment reform.


Southern New England Practice Transformation Network: Thinking Outside The Box Solved Our Enrollment Challenges, David Polakoff Dec 2016

Southern New England Practice Transformation Network: Thinking Outside The Box Solved Our Enrollment Challenges, David Polakoff

Commonwealth Medicine Publications

The strategies used by the Southern New England Practice Transformation Network (SNE-PTN), a collaborative led by UMass Medical School and UConn Health, to enroll more than 5,000 clinicians from a variety of specialties by the end of October 2016. The strategies led SNE-PTN to achieve 186 percent of the year one enrollment target.

SNE-PTN is one of 29 practice transformation networks across the country chosen by the Centers for Medicare and Medicaid Services to be part of its Transforming Clinical Practices Initiative. This practice transformation program aims to bring together specialty and primary care clinicians to work individually and ...


Implementing Behavioral Health Integration In Primary Care, Joshua P. Twomey, Judith Steinberg, Joan D. Johnston, Amy Leary, Amy Norrman-Harmon, Jean Carlevale Jun 2016

Implementing Behavioral Health Integration In Primary Care, Joshua P. Twomey, Judith Steinberg, Joan D. Johnston, Amy Leary, Amy Norrman-Harmon, Jean Carlevale

Commonwealth Medicine Publications

A detailed review of the teaching assistance (TA) and shared learning (SL) in the area of behavioral health integration UMass Medical School provided to participants of the Primary Care Payment Reform program, an alternative payment pilot developed by the Massachusetts Medicaid program, MassHealth. PCPR was designed to improve access, patient experience, quality and efficiency. As a result of TA and SL, practices reported higher rates on behavioral health quality measures and milestones.


Paving The Way For Practice Success Under Value-Based Payments, Judith Steinberg, Anita Morris, Valerie Konar, Frederick (Rick) Perro, Pam Senesac, David Polakoff Jun 2016

Paving The Way For Practice Success Under Value-Based Payments, Judith Steinberg, Anita Morris, Valerie Konar, Frederick (Rick) Perro, Pam Senesac, David Polakoff

Commonwealth Medicine Publications

A comprehensive look at The Southern New England Practice Transformation Network (SNE-PTN), which supports implementation of person-centered, high quality, efficient, and coordinated care. SNE-PTN is funded under the Centers for Medicare & Medicaid Services’ Transforming Clinical Practices Initiative.

SNE-PTN is a complex, large-scale care transformation effort that requires a multi-faceted approach and alignment with state and national health care reform efforts. It is important to articulate the value proposition for clinicians.


Whole-Person Care: Implementing Behavioral Health Integration In The Patient-Centered Medical Home, Joshua P. Twomey, Joan Johnston, Judith L. Steinberg, Anita Morris Mar 2016

Whole-Person Care: Implementing Behavioral Health Integration In The Patient-Centered Medical Home, Joshua P. Twomey, Joan Johnston, Judith L. Steinberg, Anita Morris

Commonwealth Medicine Publications

Primary Care Payment Reform (PCPR) is an alternative payment pilot program of MassHealth, with learning collaborative support from UMass Medical School, that introduces the principles of accountable care, behavioral health integration and patient-centered medical homes in primary care practices. The pilot demonstrated that behavioral health integration is a necessary component of whole-person care and a complex, but highly accomplishable task; numerous transformation strategies can support the clinical, financial and cultural challenges to integration; and alternative payment models are essential to support sustainable, expandable and successful behavioral health services in primary care.


Health Care Payment Reform: Options And Recommendations, James P. Highland, Julia Feldman, Katharine London, Carol Gyurina, Rachel Gershon Apr 2015

Health Care Payment Reform: Options And Recommendations, James P. Highland, Julia Feldman, Katharine London, Carol Gyurina, Rachel Gershon

Commonwealth Medicine Publications

This report evaluates a variety of strategies, from short-term actions to comprehensive reforms, and issues recommendations New Hampshire can choose from to contain health care costs while maintaining access and quality.

View a video of the report being presented at a public forum hosted by the New Hampshire Insurance Department.


New Payment Models For Asthma, Katharine London Oct 2014

New Payment Models For Asthma, Katharine London

Commonwealth Medicine Publications

This presentation discusses new payment models for asthma and provides an overview of the Massachusetts Children's High-risk Asthma Bundled Payment (CHABP) Demonstration Program. It also discusses opportunities and challenges of the new payment models.


Vermont Price Variation Analysis, Katharine London, Michael G. Grenier, Carol Gyurina Gyurina, Rebecca Kushner, Tami Ohler Oct 2014

Vermont Price Variation Analysis, Katharine London, Michael G. Grenier, Carol Gyurina Gyurina, Rebecca Kushner, Tami Ohler

Commonwealth Medicine Publications

Presentation to Vermont's Green Mountain Care Board about a Price Variation Analysis undertaken in partnership with the University of Vermont College of Medicine and Wakely Consulting Group. The presentation outlined price variations across the state and suggested a process and methodology that the Board could use to set standard rates.


Vermont Price Variation Analysis, Katharine London, Michael G. Grenier Aug 2014

Vermont Price Variation Analysis, Katharine London, Michael G. Grenier

Commonwealth Medicine Publications

This analysis documents price variations across the state and suggests a process and methodology that the Vermont Green Mountain Care Board could use to set standard rates. The report determined that inpatient prices among Vermont's 14 hospitals and Dartmouth-Hitchcock Medical Center in New Hampshire vary from 71 to 130 percent of the state average. The analysis identified a number of factors that explain some variation in professional prices among providers and also showed there is no consistency in the share of variation explained by each factor across health services.