Articlegreen2009

Fostering Accountable Health Care: Moving Forward In Medicare

Elliott S. Fisher · Mark McClellan · John M. Bertko · Steven M. Lieberman · Julie J. Lee · Julie L. Lewis +1 more

272 citations0/0 files storedHealth Affairs

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Healthcare Policy and Management Healthcare Systems and Reforms Primary Care and Health Outcomes

Abstract

To succeed, health care reform must slow spending growth while improving quality. We propose a new approach to help achieve more integrated and efficient care by fostering local organizational accountability for quality and costs through performance measurement and "shared savings" payment reform. The approach is practical and feasible: it is voluntary for providers, builds on current referral patterns, requires no change in benefits or lock-in for beneficiaries, and offers the possibility of sustained provider incomes even as total costs are constrained. We simulate the potential expenditure impact and show that significant Medicare savings are possible.

Citations in this library

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References

2008Coordinating Care — A Perilous Journey through the Health Care System 2002Geography And The Debate Over Medicare Reform 2004Medicare Spending, The Physician Workforce, And Beneficiaries' Quality Of Care

Cited by

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