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Incentives in U.S. Healthcare Operations

Tinglong Dai
2015 Decision Sciences  
In my dissertation, I aim to understand incentives in U.S. healthcare operations based on my collaboration with various health organizations.  ...  In my first essay, I investigate the underlying operational and economic drives behind physicians' test-ordering behavior in an outpatient setting, motivated by a collaborative study with University of  ...  One crucial part of such root causes, I believe, is the complex web of incentives in the U.S. healthcare delivery system.  ... 
doi:10.1111/deci.12136 fatcat:73dv7gu6andsnjtmmoghfyzwye

A perverse quality incentive in surgery: implications of reimbursing surgeons less for doing laparoscopic surgery

Amanda N. Fader, Tim Xu, Brian J. Dunkin, Martin A. Makary
2016 Surgical Endoscopy  
Recently, advances in surgical techniques have allowed surgeons to perform many common operations using minimally invasive methods that result in fewer complications.  ...  We explore the incentive of the current surgeon reimbursement fee schedule and its potential implications.  ...  Resolving the potentially perverse incentives in paying for surgical approaches may help address disparities in surgical care, reduce the endemic problem of variation, and help constrain healthcare inflation  ... 
doi:10.1007/s00464-016-5170-9 pmid:27752810 pmcid:PMC5576022 fatcat:akv37gpjjfbjbowr3xujipqlyi

The Quality Imperative

Austin B. Frakt, Aaron E. Carroll
2013 American Journal of Preventive Medicine  
Perperson healthcare spending in the U.S. was about $7500 in 2008, an extreme outlier relative to other Organisation for Economic Co-operation and Development (OECD) nations, even accounting for the greater  ...  incentives to drive the chain of innovation in quality and effıciency.  ... 
doi:10.1016/j.amepre.2012.09.010 pmid:23195161 fatcat:7qjkpno6djcaxlinb53qgqdpr4

A Call to Action

Joseph M. Smith, Eric Topol
2013 American Journal of Preventive Medicine  
For example, there has been growing interest in medical tourism, in which patients from the U.S. travel to countries such as Indonesia or India for specifıc medical procedures, operations, or treatments  ...  Our healthcare system provides incentives to hospitals to be full; incentives for physicians to see patients in their offıces, clinics, and hospital rooms; and incentives for proceduralists to perform  ... 
doi:10.1016/j.amepre.2012.09.015 pmid:23195170 fatcat:g6rlopejqjbbfg3zqxchhnrcpq

Introduction to the Special Issue on "The Intersection Between Industrial Organization and Healthcare Economics"

Christopher M. Snyder, Victor J. Tremblay
2018 Review of Industrial Organization  
This intersection has received increasing research interest, growing from 2% of the industrial-organization literature in 1991 to 6% in 2016.  ...  This article introduces the special issue on the intersection between industrial organization and healthcare economics.  ...  These figures were computed by dividing Research America (2007, 2016) estimates of U.S. R&D in healthcare by National Science Foundation estimates of total U.S. R&D.  ... 
doi:10.1007/s11151-018-9628-x fatcat:q72g7cc5wrgypgmbjl3xfl37u4

U.S. Healthcare's quality-based compensation model

N A Hanchak, N Schlackman, S Harmon-Weiss
1996 Health Care Financing Review  
In addition, the model aligns the incentives of U.S. Healthcare purchasers, participating providers, and members in order to provide high-quality, cost-effective care that maximizes patient outcomes.  ...  The model clearly delineates the expectations of U.S. Healthcare, and in contrast with traditional payment models, encourages improvement in performance.  ...  Healthcare has balanced the incentive for cost-effective delivery of care with the incentive to maximize quality. U.S.  ... 
pmid:10158727 pmcid:PMC4193601 fatcat:es57h26thvcslhj4hb45lpbyx4

Healthcare Reform in the U.S. Must Be Driven by Policy and Data, Not Politics and Ideology

Teresa Waters, Michael Karpf
2020 Journal of Family Medicine and Health Care  
Results U.S. healthcare spending continues to exceed that of other countries, without offering universal coverage.  ...  U.S. healthcare spending will reach 20% of GDP by 2026. Despite this spending, almost 14% of our under-65 population still lacks health insurance and out-of-pocket healthcare spending is high.  ...  Under the ACA, the U.S. federal government significantly ramped up their fraud and abuse operations, collecting about $2.4 billion in health care fraud judgments and settlements in 2017.  ... 
doi:10.11648/j.jfmhc.20200601.15 fatcat:ktj5siwqzrbwjo72fhj3ct2h74

Accelerating Evaluation of Financial Incentives for Fruits and Vegetables: A Case for Shared Measures

Nadine Budd Nugent, Carmen Byker Shanks, Hilary K. Seligman, Hollyanne Fricke, Courtney A. Parks, Sarah Stotz, Amy L. Yaroch
2021 International Journal of Environmental Research and Public Health  
We explore the evaluation of financial incentives in the U.S. to demonstrate the need for shared measurement in the future.  ...  Financial incentives for FVs are supported by the 2018 Farm Bill and United States (U.S.)  ...  Introduction 1.Background In 2019, one in ten United States (U.S.) households were food insecure [1] .  ... 
doi:10.3390/ijerph182212140 pmid:34831902 pmcid:PMC8621044 fatcat:flocyq56lzg7jgtl2zgc7hce5q

Perspectives on efficiency and quality in an ever changing system: Healthcare 2010

Neel Butala
2010 The Yale Journal of Biology and Medicine  
The Healthcare 2010 conference at the Omni New Haven Hotel at Yale in April focused on how different stakeholders in the healthcare industry can excel in light of the recent landmark health-reform bill  ...  While the discussion highlighted differences in the definitions of efficiency and quality upheld by the various players, a unifying theme emerged: In order to excel in this ever changing system, incentive  ...  Horwitz concluded that incentives are the primary determinant of whether quality and efficiency operate in conflict or synergy.  ... 
pmid:20589190 pmcid:PMC2892768 fatcat:eh4g6rsbfbhxfgevzga3fknn6u

Perioperative Surgical Home

Thomas R. Vetter, Keith A. Jones
2015 Anesthesiology Clinics  
177 Total 910 % of Total Spending 34% 12 Berwick DM, JAMA 2012 * Average annual cost to US Healthcare in 2011 Eliminating Waste in U.S.  ...  U.S.  ... 
doi:10.1016/j.anclin.2015.07.002 pmid:26610629 fatcat:5u5h2dmopvc73a434fwveo765i

A Study of Healthcare Reform in China in Light of the USA and Canadian Systems

Greg Chen
2019 Chinese Public Administration Review  
China can learn from the U.S. and Canadian systems in both financing and providing healthcare.  ...  The study also suggests that the U.S. employer-based healthcare insurance system requires a major overhaul.  ...  Chao, Director of the Family Planning Center in Tianjin, for data collection.  ... 
doi:10.22140/cpar.v10i2.203 fatcat:ogbxgcdiq5hdpcfzjn7mrb5x74

Balancing influence between actors in healthcare decision making

Robert M Kaplan, Yair M Babad
2011 BMC Health Services Research  
In the U.S. this has resulted in large variation in healthcare availability and use, increased cost, reduced employer participation in health insurance programs, and reduced overall population health outcomes  ...  Recent U.S. healthcare reform legislation addresses only some of these issues. Other countries face similar healthcare issues.  ...  We did not receive support from any parties with direct financial interest in the conclusions of this work.  ... 
doi:10.1186/1472-6963-11-85 pmid:21504599 pmcid:PMC3108374 fatcat:h22eqguxunelnbv6wmqz4jjj7y

Think globally, act locally

David B Nash
2009 Biotechnology healthcare  
of GDP in other Organisation for Economic Co-operation and Development (OECD) countries.  ...  It also conducted in-depth interviews of more than 120 healthcare thought leaders, including policymakers, employee benefit managers, and top executives of healthcare organizations in 16 countries.  ... 
pmid:22478792 pmcid:PMC2816166 fatcat:d6erb3a2kfdpdflx632sggf32m

User needs and requirements analysis for big data healthcare applications

Sonja Zillner, Nelia Lasierra, Werner Faix, Sabrina Neururer
2014 Studies in Health Technology and Informatics  
In order to take advantage of the promising opportunities of big data technologies, a clear understanding of user needs and requirements of the various stakeholders of healthcare, such as patients, clinicians  ...  However, this requires the integrated view of various heterogeneous data sources, legal frameworks for data sharing and incentives that foster collaboration.  ...  place • First-mover best-practice application demonstrate the potential of big data technology in healthcare • Current roadblocks are the established system incentives of the healthcare system which hinder  ... 
pmid:25160268 fatcat:igihkuvuunhrreqqur74dky24a

Moving Healthcare Quality Forward With Nursing-Sensitive Value-Based Purchasing

Kevin T. Kavanagh, Jeannie P. Cimiotti, Said Abusalem, Mary-Beth Coty
2012 Journal of Nursing Scholarship  
Purpose: To underscore the need for health system reform and emphasize nursing measures as a key component in our healthcare reimbursement system.  ...  NSVBP needs to be designed and incentivized to decrease adverse events, hospital stays, and readmission rates, thereby decreasing societal healthcare costs.  ...  The largest and growing component of the U.S. healthcare system is hospital care.  ... 
doi:10.1111/j.1547-5069.2012.01469.x pmid:23066956 pmcid:PMC3558794 fatcat:yfmwydaebrbptjdxtzzozaqs7e
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