Payment Models to Coordinate Healthcare Providers with Partial Attribution of Outcome Costs
Published Online:18 Jan 2018https://doi.org/10.1287/msom.2020.0928
References
- (2018) Contracts for healthcare referral services. Management Sci. 65(3):1322–1341.Link, Google Scholar
- (2017) Bundled payment vs. fee-for-service: Impact of payment scheme on performance. Management Sci. 63(5):1606–1624.Link, Google Scholar
- (2011) Treatment and referral decisions under different physician payment mechanisms. J. Health Econom. 30(5):880–893.Crossref, Google Scholar
- (2012) Estimating a reasonable patient panel size for primary care physicians with team-based task delegation. Ann. Fam. Med. 10(5):396–400.Crossref, Google Scholar
- (2011) Quality-speed conundrum: Tradeoffs in customer-intensive services. Management Sci. 57(1):40–56.Link, Google Scholar
- (2018) Incentive programs for reducing readmission when patient care is co-produced. Production Oper. Management 27(6):999–1020.Crossref, Google Scholar
- (2012) Trends in physician referrals in the United States, 1999-2009. Arch. Intern. Med. 172(2):163–170.Crossref, Google Scholar
- (2020) Should hospitals keep their patients longer? The role of inpatient and outpatient care in reducing readmissions. Management Sci. 66(6):2326–2346.Link, Google Scholar
- (2015) The effect of wait times on mortality in Canada. Report, Fraser Institute, Vancouver.Google Scholar
- (2013) Cracking the code: Top strategies for selecting appropriate E/M levels and documenting patient care. Med. Econom. 20(10):20–25.Google Scholar
- (2014) RVUs: A valuable tool for aiding practice management. Med. Econom. 91(4):48–51.Google Scholar
- (2016) Time matters in caring for patients. Twenty minutes isn’t enough. Pharos Alpha Omega Alpha Honor Med. Soc. 79(2):2–8.Google Scholar
- (2015) GP practices ‘offered rewards’ for not referring patients to hospitals. The Guardian (October 1), https://www.theguardian.com/society/2015/oct/01/gp-practices-offered-rewards-for-not-referring-patients-to-hospitals.Google Scholar
- (2017) The impact of delays on service times in the intensive care unit. Management Sci. 63(7):2049–2072.Link, Google Scholar
- (2015) Measuring the quality of healthcare in the U.S. Accessed December 28, 2020, https://www.healthsystemtracker.org/brief/measuring-the-quality-of-healthcare-in-the-u-s/.Google Scholar
- CMS (2018) Prospective payment systems—general information. Accessed December 28, 2020, https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/index.Google Scholar
- (2011) Pay for Performance in Healthcare: Methods and Approaches (RTI Press, Research Triangle Park, NC).Crossref, Google Scholar
- (2014) Mirror, mirror on the wall. Report, The Commonwealth Fund, New York.Google Scholar
- (2019) Slow first, fast later: Temporal speed-up in service episodes of finite duration. Production Oper. Management 28(5):1061–1081.Crossref, Google Scholar
- (2014) Physician payment mechanisms, hospital length of stay and risk of readmission: Evidence from a natural experiment. J. Health Econom. 36:112–124.Crossref, Google Scholar
- , . (2014) Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: A meta-analysis of individual patient data from randomised trials. Lancet 384(9958):P1929–P1935.Crossref, Google Scholar
- (2015) 6 reasons healthcare is so expensive in the U.S. Investopedia (August 6), https://www.investopedia.com/articles/personal-finance/080615/6-reasons-healthcare-so-expensive-us.asp.Google Scholar
- (2013) Improving access to specialty care for Medicaid patients. Report, Agency for Healthcare Research and Quality, Rockville, MD. Accessed August 3, 2017, https://innovations.ahrq.gov/perspectives/improving-access-specialty-care-medicaid-patients.Google Scholar
- (2017) Gatekeepers at work: An empirical analysis of a maternity unit. Management Sci. 63(10):3147–3167.Link, Google Scholar
- (2013) Reducing wait times for healthcare. Report, Fraser Institute, Vancouver.Google Scholar
- (2007) Skin diseases get misdiagnosed in primary care. MDEdge Family Practice News (September 24), https://www.mdedge.com/familymedicine/article/29353/dermatology/skin-diseases-get-misdiagnosed-primary-care.Google Scholar
- 2018. Medical professional liability insurance premiums: An overview of the market from 2008 to 2017. Policy Research Perspectives 18, American Medical Association, Chicago.Google Scholar
- (2017) Poor care is the root of physician disengagement. Report, NEJM Catalyst, Waltham, MA.Google Scholar
- (2019) The impact of reimbursement policy on social welfare, revisit rate, and waiting time in a public healthcare system: Fee-for-service vs. bundled payment. Manufacturing Service Oper. Management 21(1):154–170.Link, Google Scholar
- (2014) Delivering higher value care means spending more time with patients. Harvard Bus. Rev. (December 26), https://hbr.org/2014/12/delivering-higher-value-care-means-spending-more-time-with-patients.Google Scholar
- (2011) How payment systems affect physicians’ provision behaviour–an experimental investigation. J. Health Econom. 30(4):637–646.Crossref, Google Scholar
- (2012) Performance-based contracts for outpatient medical services. Manufacturing Service Oper. Management 14(4):654–669.Link, Google Scholar
- (2019) Medscape physician compensation report. Accessed December 28, 2020. https://www.medscape.com/slideshow/2019-compensation-overview-6011286.Google Scholar
- (2012) Outsourcing a two-level service process. Management Sci. 58(8):1569–1584.Link, Google Scholar
- (2015) Mutual referral policy for coordinating healthcare systems of different scales. Internat. J. Production Res. 53(24):7411–7433.Crossref, Google Scholar
- (2010) Pathways for physician success under healthcare payment and delivery reform. Report, American Medical Association, Chicago.Google Scholar
- (2017) Survey of physician appointment wait times. Technical Report, Merritt Hawkins, Irving, TX.Google Scholar
- (2014) Patients should share accountability for own health. MedPage Today (November 13), https://www.medpagetoday.org/publichealthpolicy/generalprofessionalissues/48569?vpass=1.Google Scholar
- National Quality Forum (2018) Improving attribution models. Report, National Quality Forum, Washington, DC.Google Scholar
- (2016) Extending the Medicare Prospective Payment System to Post-Hospital Care (RAND Corporation, Santa Monica, CA).Google Scholar
- (2014) GP payment schemes review. Policy Research Unit in Commissioning and Healthcare System Technical Report, Center for Health Services Studies, University of Kent, Kent, UK.Google Scholar
- RAND (2010) Bundled payment. RAND Corporation Technical Report TR-562/20, RAND Corporation, Santa Monica, CA.Google Scholar
- (2016) Attribution methods and implications for measuring performance in healthcare. Report, National Quality Forum, Washington, DC.Google Scholar
- (2009) Performance-based bundled payments: Potential benefits and burdens. Minnesota Med. 92(10):33–35.Google Scholar
- (2016) Should doctors be penalized for patient outcomes? Medscape (November 3).Google Scholar
- (2003) Gatekeepers and referrals in services. Management Sci. 49(7):839–856.Link, Google Scholar
- (2015) Healthcare utilization, patient costs, and access to care in U.S. adults with eczema. JAMA Dermatol. 151(7):743–752.Crossref, Google Scholar
- (2004) The impact of physician payment methods on raising the efficiency of the healthcare system: An international comparison. Appl. Health Econom. Health Policy 3(1):39–46.Crossref, Google Scholar
- (2014) Patient referrals—a linchpin for accountable care. JAMA 312(6):597–598.Crossref, Google Scholar
- (2013) International comparisons of waiting times in healthcare—limitations and prospects. Health Policy 112:53–61.Crossref, Google Scholar
- (2017) Costs and consequences associated with misdiagnosed lower extremity cellulitis. JAMA Dermatol. 153(2):141–146.Crossref, Google Scholar
- (2010) Physician performance measures in dermatology. J. Amer. Assoc. Dermatol. 63(5):29–35.Crossref, Google Scholar
- (2017) Outcome-based reimbursement policies for chronic care pathways. INSEAD Working Paper 2017/35/DSC/TOM, INSEAD, Fontainebleau, France.Google Scholar

