Massachusetts considering payment reform.

Robert Wood Johnson Foundation Payment Reform Evaluation Project Development and Implementation of Payment Reform to Pay Equally for What Works Equally Well Institute for Clinical and Economic Review, Massachusetts General Hospital

Introduction This report summarizes the history of an innovative payment reform project in Massachusetts which began in 2009 and ended in autumn 2011, at which time project stakeholders mutually decided that the originally anticipated payment change -paying equally for procedures that, according to comparative effectiveness reviews, produced equal outcomes for patients with low-risk prostate ca...

Payment reform after PPACA: is Massachusetts leading the way again?

Children with special health care needs: the canary in the health care reform coal mine.

An article entitled “Massachusetts Health Reform and Access for Children With Special Health Care Needs” by Smith and Chien appears in this month’s issue of Pediatrics. The investigators used parent-reported data from the 2005/2006 and 2009/2010 National Survey of Children With Special Health Care Needs to compare findings in Massachusetts before and after the implementation of health care refo...

Medicaid incentive PrograMs: How waivers are iMProving HealtH outcoMes

Shortly following the implementation of the Affordable Care Act (ACA) in 2010, the state of California established the first ever Delivery System Reform Incentive Payment (DSRIP) Program as a part of its Section 1115 Medicaid waiver. Both Texas and Massachusetts followed with similar waiver-based programs shortly thereafter, creating a new trend in health care reform. After five years of growin...

Provider payment reform in China: the case of hospital reimbursement in Hainan province.

This paper develops a simple model of payment incentives and empirically evaluates provider payment reform in Hainan Province, China. We use a pre-post study design with a control group to analyse two years of claims data to assess the impact of a January 1997 change to prospective payment for a sub-sample of the hospitals. This difference-in-difference empirical strategy allows us to isolate t...