More Health Care Costs and Provider Payment Projects and Publications

Cost Drivers and the Cost-Quality Relationship

Projects:

Minnesota’s Health Reform Initiative: Provider Peer Grouping
Technical Assistance to Working Group on Health Care Payment
Can Disease Management Control Costs?
Health Insurance Exchange Study
Data Collection for the Second Generation Social Health Maintenance Organization Demonstration
Cost of Interpretation Services for Fee-for-Service Medicaid: California
Cost Evaluation of a Pilot Project on Nurse Delegation in Home Community-Based Services
Promoting Cost and Service Use Profiles to Improve Quality of Care for Children with Special Health Care Needs
Analysis of Health Care Provider and Health Care Payer Costs and Cost Trends
Data Collection Support and Analytic Report Development for the Maryland Health Care Commission
Study of Idaho’s Health Care Costs and Options to Improve Health Care Access
Hospital Cost, Financial Performance, and Cost Shifting in West Virginia

Publications:

"Mental Disorders Among Non-Elderly Nursing Home Residents” (January 2011)
"Aging in Place: Do Older Americans Act Title III Services Reach Those Most Likely to Enter Nursing Homes?” (July 2010)
"Engaging Patients and Families in the Medical Home” (June 2010)
"Integrating Mental Health Treatment Into the Patient Centered Medical Home” (June 2010)
"The Business Case for Accurate Data on Quality and Savings in Medical Home Programs” (March 2010)
"Coordinating and Improving Care for Dual Eligibles in Nursing Facilities: Current Obstacles and Pathways to Improvement.” (March 2010)
"Practical Lessons for Health Reform from the Military Health System" (November 2009)
"Employer-Sponsored Insurance, Health Care Cost Growth, and the Economic Performance of U.S. Industries" (October 2009)
"State Variation in Out-of-Home Medicaid Mental Health Services for Children and Youth: An Examination of Residential Treatment and Inpatient Hospital Services” (August 2009)
"Strategies for Reining in Medicare Spending Through Delivery System Reforms: Assessing the Evidence and Opportunities” (2009)
“The Promise of Care Coordination: Models that Decrease Hospitalizations and Improve Outcomes for Medicare Beneficiaries with Chronic Illness” (August 2009)
"Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries: 15 Randomized Trials" (February 2009)
"Evaluation of Effectiveness of AHRQ's Grant-Supported Research on Healthcare Costs, Productivity, Organization, and Market Forces" (December 2008)
"The Economic Security of American Workers: Trends in the Labor Market, Savings Behavior, and Health Insurance Coverage in the United States" (December 2008)
"Understanding the Variation in Costs Among HIV Primary Care Providers" (October 2008)
"Impacts of a Disease Management Program for Dually Eligible Beneficiaries" (fall 2008)
"Private Health Insurance: High Risk Pools, GAP Plans, and Options for Reform" (October 2008)
"Final Report to Congress on the Informatics for Diabetes Education and Telemedicine (IDEATel) Demonstration, Phases I and II” (September 2008)

Provider Payment Methods and Their Impacts

Projects:

Episode-Based Payment Commentary
Research and Analytic Support to the Special Commission on the Health Care Payment System
Impact of Payment Reform for Part B-Covered Outpatient Drugs and Biologicals

Publications:

"Episode-Based Payments: Charting a Course for Health Care Payment Reform" (January 2010)
“Accountable Care Organizations: Will They Deliver?” (January 2010)
"Medicare Governance and Provider Payment Policy” (October 2009)
"Enhanced Primary Care Case Management Programs in Medicaid: Issues and Options for States" (September 2009)
"Recommendations of the Massachusetts Special Commission on the Health Care Payment System" (July 2009)
"What Physicians Think About Resource Use Reports" (June 2009)
"State Policies to Encourage High-Deductible and Limited-Benefit Health Plans: Costs, Constituents, and Concerns" (March 2009)
"Overview of Global Payment" (March 2009)
"Overview of Global Budgets" (March 2009)
"Overview of Payment Models" (February 2009)
"Payment Models and Benefit Design" (February 2009)
"Pay for Performance: Lessons from Experience" (February 2009)
"Using Physician Payment Reform to Enhance Health System Performance" (December 2008)
"Qualifying a Physician Practice as a Medical Home” (December 2008)
"Paying for Medical Homes: A Calculated Risk” (December 2008)
"Using Section 125 Premium-Only Plans to Expand Health Coverage" (October 2008)
"Impact of Multitiered Copayments on the Use and Cost of Prescription Drugs Among Medicare Beneficiaries" (April 2008)

Equity Issues in Payment Policy

Projects:

2006 Medicare Advantage Plans, Premiums, and Special Needs Plans

Publications:

"Northern New Jersey Health Care Market Reflects Urban-Suburban Contrasts" (December 2010)
"Using Payment Incentives to Improve Care for the Chronically Ill in Medicare: First Year Implementation of the Medicare Care Management Performance Demonstration (MCMP)" (March 2009)
"America's Uninsured Crisis: Consequences for Health and Health Care" (February 2009)
"State Policymaker Views on the Role of Consumer Advocacy Groups in Health Coverage Policy Development: Summary of Findings" (January 2009)
"Designing Subsidized Health Coverage Programs to Attract Enrollment: A Review of the Literature and a Synthesis of Stakeholder Views" (December 2008)
"Improving Public Coverage for Children: Lessons from CKF in Washington" (November 2008)
"Improving Public Coverage for Children: Lessons from CKF in Colorado" (November 2008)
"Medicaid Prescription Drug Use by Dual Eligibles: Issues for Medicare Part D" (August 2008)