This brief sets forth a set of policy options to improve the way health care providers are paid by Medicare. The authors suggest repealing Medicare's sustain­able growth rate (SGR) formula for physician fees and replacing it with a pay-for-value approach that would: 1) increase payments over time only for physicians and other provid­ers who participate in innovative care arrangements; 2) streng...

O ver the latter half of the 1990s, the U.S. economy experienced both a substantial decrease in the savings rate and a significant run-up in household net worth. Between 1994 and 2000, the gross private savings rate fell from 17 to 12 percent, while the personal savings rate declined from above 6 percent to less than zero. Over the same period, the value of household sector equity holdings (inc...

OBJECTIVE To assess whether the multitherapy antenatal education 'CTLB' (Complementary Therapies for Labour and Birth) Study programme leads to net cost savings. DESIGN Cost analysis of the CTLB Study, using analysis of outcomes and hospital funding data. METHODS We take a payer perspective and use Australian Refined Diagnosis-Related Group (AR-DRG) cost data to estimate the potential savin...

Private finance has brought to public-private partnerships a third-party overlook on the contracts. Bringing into the appraisal of PPP deals banks and rating agencies results in outsourcing the due diligence of the project to the party best suited to perform it. This reduction in asymmetries of information can occur both in the competition for the market stage or in the competition within the m...

BACKGROUND There is significant need for physician innovation and leadership in health care as we adapt to bundled payment models of health care delivery. METHODS We engaged a collective of 16 different private company orthopedic physician groups to apply to become episode initiators under BPCI models 2 and 3. The application process itself provided historical cost data, enabling each group t...

Foreign aid recipient fiscal response in developing countries is studied using utility/welfare maximization principle. The underlying assumption of this function (utility/welfare can be maximized by narrowing the deviations of the actual values from their desired values subject to the constraints of finance) doesn’t capture the interplay between project aid inflows and the adjustment process of...

Foreign aid recipient fiscal response in developing countries is studied using utility/welfare maximization principle. The underlying assumption of this function (utility/welfare can be maximized by narrowing the deviations of the actual values from their desired values subject to the constraints of finance) doesn’t capture the interplay between project aid inflows and the adjustment process of...

conclusions the hc2 intervention shows potential for generating cost savings. cost analyses of programs of this type are helpful to policymakers and program planners to allocate resources for obesity prevention programs in school and childcare settings. results the total cost of hc2 intervention was 206319 $. the average cost per child in year 1 was 113.90 $. the average cost per child for the ...