Health services research

The most recent articles from: Health Serv Res August 2020

Health services research · Aug 2020

Comparative Study Observational Study

Early impact of the implementation of Medicaid episode-based payment reforms in Arkansas.

To evaluate episode-based payments for upper respiratory tract infections (URI) and perinatal care in Arkansas's Medicaid population. ⋯ Upper respiratory infection and perinatal EOCs for Arkansas Medicaid beneficiaries produced mixed results. Aligning shared savings with quality metrics and cost-thresholds may help achieve quality targets and disincentivize over utilization within the EOC, but may also have unintended consequences.

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Health services research · Aug 2020

Fee-for-service payment is not the (main) problem.

To understand the effect of physician payment incentives on the allocation of health care resources. ⋯ The problem with current FFS payment is not paying a fee for each service, per se, but the way in which the fees are determined.

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