This article describes the results of a simulation analysis of a payment model for specialty oncology services that is being developed for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS). CMS asked MITRE and RAND to conduct simulation analyses to preview some of the possible impacts of the payment model and to inform desi...

Reimbursement models are changing. Clinical outcomes will affect your financial performance in a fee-for-value world. Yet, fee-for-service reimbursement still dominates today. Navigating the transition to this new healthcare provisioning and reimbursement model can be accomplished by first creating an effective roadmap. This roadmap includes a current state assessment and the development of a f...

BACKGROUND Pediatric rehabilitation considers Family-centered service (FCS) as a way to increase participation of children with a physical disability in daily life. An important principal is that parents greatly contribute to their child's participation at school, at home, and in the community. However, it is unclear what kind of information is available from literature about what parents actua...

Patients and payers (government and private) are frustrated with the fee-for-service system (FFS) of payment for outpatient health services. FFS rewards volume and highly valued services, including expensive diagnostics and therapeutics, over lesser valued cognitive services. Proposed payment schemes would incent collaboration and coordination of care among providers and reward quality. In onco...

Cloud communication service (CCS) with its simplicity and lower investment cost is becoming increasingly popular. In contrast to its growing popularity, very little is known about the internals of CCS with respect to its architecture and protocols. To gain insights into CCS, we study a popular cloud communication service ”Twilio” using gray box techniques. In our study, we provide insights into...

We study physicians’ incentives to use personalised medicine techniques, replicating the physician’s trade-offs under option of information. In a laboratory experiment conducted in two French Universities, prospective physicians played real-effort game. vary both information structure (free access versus paid information) and payment scheme (pay-for-performance (P4P), capitation (CAP) fee-for-s...