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Provider Reimbursement Following the Affordable Care Act.
Health Care Manag (Frederick). 2018 Apr/Jun; 37(2):129-135.HC

Abstract

Decreasing health care expenditures has been one of the main objectives of the Affordable Care Act. To achieve this goal, the Centers for Medicare and Medicaid Services (CMS) has been tasked with experimenting with provider reimbursement methods in an attempt to increase quality, while decreasing costs. The purpose of this research was to study the effects of the Affordable Care Act on physician reimbursement rates from CMS to determine the most cost-effective method of delivering health care services. The CMS has experimented with payment methods in an attempt to increase cost-effectiveness. Medicare has offered shared cost-savings incentives to reward quality care to both primary care providers and preventative services. The CMS has determined fee-for-service payments obsolete, opting instead for a value-based purchasing method of payment. Although a universal payment method has yet to be adopted, it has been evident that a value-based purchasing model and preventative care can be used to decrease health care expenditure.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Bowling B
Author Affiliation: Healthcare Administration Program, Marshall University Lewis College of Business, South Charleston, West Virginia.
Newman D
No affiliation info available
White C
No affiliation info available
Wood A
No affiliation info available
Coustasse A
No affiliation info available

MeSH

Health ExpendituresMedicarePatient Protection and Affordable Care ActQuality of Health CareUnited StatesValue-Based Purchasing

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29521892

Citation

Bowling, Brandon, et al. "Provider Reimbursement Following the Affordable Care Act." The Health Care Manager, vol. 37, no. 2, 2018, pp. 129-135.
Bowling B, Newman D, White C, et al. Provider Reimbursement Following the Affordable Care Act. Health Care Manag (Frederick). 2018;37(2):129-135.
Bowling, B., Newman, D., White, C., Wood, A., & Coustasse, A. (2018). Provider Reimbursement Following the Affordable Care Act. The Health Care Manager, 37(2), 129-135. https://doi.org/10.1097/HCM.0000000000000205
Bowling B, et al. Provider Reimbursement Following the Affordable Care Act. Health Care Manag (Frederick). 2018 Apr/Jun;37(2):129-135. PubMed PMID: 29521892.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Provider Reimbursement Following the Affordable Care Act. AU - Bowling,Brandon, AU - Newman,David, AU - White,Craig, AU - Wood,Ashley, AU - Coustasse,Alberto, PY - 2018/3/10/pubmed PY - 2018/8/25/medline PY - 2018/3/10/entrez SP - 129 EP - 135 JF - The health care manager JO - Health Care Manag (Frederick) VL - 37 IS - 2 N2 - Decreasing health care expenditures has been one of the main objectives of the Affordable Care Act. To achieve this goal, the Centers for Medicare and Medicaid Services (CMS) has been tasked with experimenting with provider reimbursement methods in an attempt to increase quality, while decreasing costs. The purpose of this research was to study the effects of the Affordable Care Act on physician reimbursement rates from CMS to determine the most cost-effective method of delivering health care services. The CMS has experimented with payment methods in an attempt to increase cost-effectiveness. Medicare has offered shared cost-savings incentives to reward quality care to both primary care providers and preventative services. The CMS has determined fee-for-service payments obsolete, opting instead for a value-based purchasing method of payment. Although a universal payment method has yet to be adopted, it has been evident that a value-based purchasing model and preventative care can be used to decrease health care expenditure. SN - 1550-512X UR - https://www.unboundmedicine.com/medline/citation/29521892/Provider_Reimbursement_Following_the_Affordable_Care_Act_ DB - PRIME DP - Unbound Medicine ER -