Harold D . Miller IMPLEMENTING ALTERNATIVE PAYMENT MODELS UNDER MACRA How the Federal Government Can Accelerate Successful Health Care Payment Reform
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After the "Doc Fix": Implications of Medicare Physician Payment Reform for Academic Medicine.
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Passed with the broad bipartisan support of Congress in 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) will bring about comprehensive changes to how Medicare pays for physician services. MACRA aims to accelerate the transformation from fee-for-service payment to alternative payment models that require physicians to assume risk for the cost and quality of care. Given the nation’s...
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Issue Expanded Medicaid enrollment under the Affordable Care Act has heightened the importance of states’ roles as principal purchasers of health care for low-income and medically vulnerable populations. Concurrently, the federal government has augmented states’ purchasing tools. Goal To examine the evolution of payment and delivery system reform in 10 ACA Medicaid expansion states. Methods...
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He is a frequent speaker at national, state, and local programs on healthcare reform and has given invited testimony to Congress on payment reform. Miller has worked with a number of states and regions to help design and implement payment and delivery system reforms. His work with the Pittsburgh Regional Health Initiative (PRHI) demonstrating the significant financial penalties that hospitals c...
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