LEADER 05677oam 2200949zu 450 001 9910220144003321 005 20210807005056.0 010 $a0-8330-9023-2 035 $a(CKB)3710000000413667 035 $a(SSID)ssj0001546266 035 $a(PQKBManifestationID)16136417 035 $a(PQKBTitleCode)TC0001546266 035 $a(PQKBWorkID)14792169 035 $a(PQKB)11721724 035 $a(oapen)doab115477 035 $a(EXLCZ)993710000000413667 100 $a20160829d2015 uy 101 0 $aeng 135 $aurmn|---annan 181 $ctxt 182 $cc 183 $acr 200 10$aEffects of health care payment models on physician practice in the United States 210 $cRAND Corporation$d2015 210 31$a[Place of publication not identified]$cRand Corporation$d2015 215 $a1 online resource 300 $aBibliographic Level Mode of Issuance: Monograph 311 08$a0-8330-8894-7 327 $gMachine generated contents note:$gch. ONE$tIntroduction --$tOrganization of This Report --$gpt. ONE$tModel, Background, and Methods --$gch. Two$tConceptual Model --$gch. Three$tBackground: Scan of the Literature on Effects of Payment Models on Physician Practice --$tOverview --$tPayment Models Included in the Scan --$tSupplementary Payment Models --$tOrganizational Models That Combine Payment Models --$tAlternative Payment Models: Existing Evidence on Prevalence and Effects on Physician Practice Outcomes --$gch. Four$tMethods --$tOverview of Methodological Approach --$tJustification for Qualitative Methods --$tData Collection --$tData Analysis --$tLimitations --$gpt. TWO$tResults 327 $gCh. Five$tChanges in Organizational Structure --$tOverview of Findings --$tDetailed Findings --$tComparison Between Current Findings and Previously Published Research --$gch. Six$tChanges in Practice Operations --$tOverview of Findings --$tDetailed Findings --$tComparison Between Current Findings and Previously Published Research --$gch. Seven$tIncreased Importance of Data and Data Analysis --$tOverview of Findings --$tDetailed Findings --$tComparison Between Current Findings and Previously Published Research --$gch. Eight$tInteractions Among Payment Programs and Between Payment Programs and Government Regulations --$tOverview of Findings --$tDetailed Findings --$tComparison Between Current Findings and Previously Published Research 327 $gCh. Nine$tPhysician Incentives and Compensation --$tOverview of Findings --$tDetailed Findings --$tComparison Between Current Findings and Previously Published Research --$gch. Ten$tPhysician Work and Professional Satisfaction --$tOverview of Findings --$tDetailed Findings --$tComparison Between Current Findings and Previously Published Research --$gch. Eleven$tFactors Limiting the Effectiveness of New Payment Models as Implemented --$tOverview of Findings --$tDetailed Findings --$tComparison Between Current Findings and Previously Published Research --$gch. Twelve$tConclusions --$tChallenges and Opportunities for Physicians and Physician Practices --$tChallenges and Opportunities for Health Plans --$tChallenges and Opportunities for Hospitals --$tChallenges and Opportunities for Vendors of Electronic Health Record Systems --$tChallenges and Opportunities for Regulators --$tClosing. 330 $aThe project reported here aimed to describe the effects that alternative health care payment models have on physicians and physician practices in the United States. Project findings should help guide efforts to improve current and future alternative payment programs and help physician practices succeed in these new payment models. The report provides both findings and recommendations. 606 $aMedical care$zUnited States$xCost control 606 $aMedical fees$zUnited States 606 $aPhysician practice patterns$zUnited States 606 $aPractice Management 606 $aOrganization and Administration 606 $aEconomics 606 $aReimbursement Mechanisms 606 $aProfessional Practice 606 $aSocial Sciences 606 $aHealth Services Administration 606 $aInsurance, Health, Reimbursement 606 $aDelivery of Health Care 606 $aFinancing, Organized 606 $aHealth Care Economics and Organizations 606 $aGeography 606 $aMedical Economics$2HILCC 606 $aPublic Health$2HILCC 606 $aHealth & Biological Sciences$2HILCC 607 $aUnited States 607 $aNorth America 607 $aAmericas 607 $aGeographic Locations 615 0$aMedical care$xCost control. 615 0$aMedical fees 615 0$aPhysician practice patterns 615 2$aPractice Management. 615 2$aOrganization and Administration. 615 2$aEconomics. 615 2$aReimbursement Mechanisms. 615 2$aProfessional Practice. 615 2$aSocial Sciences. 615 2$aHealth Services Administration. 615 2$aInsurance, Health, Reimbursement. 615 2$aDelivery of Health Care. 615 2$aFinancing, Organized. 615 2$aHealth Care Economics and Organizations. 615 2$aGeography. 615 7$aMedical Economics 615 7$aPublic Health 615 7$aHealth & Biological Sciences 676 $a362.1068/1 700 $aFriedberg$b Mark W.$0924634 712 02$aAmerican Medical Association, 712 02$aRand Corporation, 712 02$aRAND Health, 801 0$bPQKB 906 $aBOOK 912 $a9910220144003321 996 $aEffects of health care payment models on physician practice in the United States$92890381 997 $aUNINA