Redesigning provider payment: Opportunities and challenges from the Hawaii experience
| Autor: | Amanda Hodlofski, Andrea B. Troxel, Amol S. Navathe, Kevin G. Volpp, Michael Stollar, Susannah M. Bernheim, Kristen Caldarella, Emily Oshima Lee, Mark Mugishii, Elizabeth E. Drye, Ezekiel J. Emanuel, Kim Takata, Justin Yoshimoto |
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| Rok vydání: | 2017 |
| Předmět: |
Process management
Health economics Primary Health Care business.industry Health Policy media_common.quotation_subject Payment system 030204 cardiovascular system & hematology Payment Behavioral economics Hawaii Reimbursement Mechanisms 03 medical and health sciences Physician Incentive Plans 0302 clinical medicine Incentive Conceptual framework Scale (social sciences) Humans 030212 general & internal medicine Program Design Language business Delivery of Health Care media_common |
| Zdroj: | Healthcare (Amsterdam, Netherlands). 6(3) |
| ISSN: | 2213-0772 |
| Popis: | Objectives To describe the process of developing a new physician payment system based on value and transitioning away from a fee-for-service payment system Study design Descriptive. This paper describes a recent initiative involving redesign of primary care provider payment in the State of Hawaii. While there has been extensive discussion about switching payment from volume to value in recent years, much of this change has happened at the organizational level and this initiative focused on changing the incentives for individual providers. Methods Descriptive paper. In this paper we discuss the approach taken to shift incentives from fee-for-service towards value using behavioral economics as a conceptual framework for program design. We summarize the new payment system, challenges in its design, and our approach to piloting of different behavioral economic strategies to improve performance. Results None. Conclusions This paper will provide useful guidance to health plans or health delivery systems considering shifting primary care payment away from fee-for-service towards value highlighting some of the design challenges and necessary compromises in implementing such a system at scale. |
| Databáze: | OpenAIRE |
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