Physician Payment Reform and Hospital Referrals.

Patient referrals: a linchpin for increasing the value of care.

The success of accountable care organizations (ACOs) under global payment may depend in part on a common yet poorly understood clinical decision: the patient referral in the outpatient setting. Fundamental to collaboration among physicians and other health care professionals, patient referrals have been largely ignored in the payment reform debate. Referral rates intheUnitedStatesmorethandouble...

Specialties: missing in our healthcare reform strategies?

G iven the amount of frenetic healthcare reform preparation occurring with accountable care organizations (ACOs), patient-centered medical homes (PCMHs), and bundling demonstrations, are we overlooking—or quietly ignoring— medical and surgical specialists and subspecialists in our planning? It may seem to specialists that they are off the healthcare radar screen for now. Yes, a few medical home...

GAO-16-189 Accessible Version, MEDICARE: Increasing Hospital Physician Consolidation Highlights Need for Payment Reform

Physician payment reform: don't forget the patient.

182 Physician Payment Policy in the 101st Congress Paul B. Ginsburg The Medicare Physician Fee Freeze Janet B. Mitchell, Gerard Wedig, and Jerry Cromwell Prospective Payment to Medical Staffs: A Proposal W. Pete Welch A Competitive Bidding Approach to Physician Payment Jeffrey S. McCombs Medicare Mandatory Assignment: An Unnecessary Risk? John Holahan and Stephen Zuckerman Paying Physicians in ...

Physician payment mechanisms, hospital length of stay and risk of readmission: evidence from a natural experiment.

We provide an analysis of the effect of physician payment methods on their hospital patients' length of stay and risk of readmission. To do so, we exploit a major reform implemented in Quebec (Canada) in 1999. The Quebec Government introduced an optional mixed compensation (MC) scheme for specialist physicians working in hospital. This scheme combines a fixed per diem with a reduced fee for ser...