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The Medicare Advantage Value-Based Insurance Design Model: Overview and considerations19 February 2019 - By Catherine M. Murphy-Barron and Pamela M. Pelizzari and Brian Regan - Article

This research brief describes the Value-Based Insurance Design model for Medicare Advantage organizations (MAOs) and explores key considerations for eligible MAOs considering participation in the model.

Alternative payment model financial settlements: Preparing for and learning from the process17 September 2018 - By Christine Ferro and Maggie Alston and L. Daniel Muldoon and Pamela M. Pelizzari - Article

This paper focuses on alternative payment model reimbursement methodologies through the lens of the Centers for Medicare and Medicaid Services Oncology Care Model as an illustrative case study.

Critical Point podcast, Episode 2: Alternative Payment Models 10124 July 2018 - By Pamela M. Pelizzari - Article

A discussion about alternative payment methods, bundled payment, ACOs, and more.

An Overview of the Bundled Payments for Care Improvement Advanced Model13 March 2018 - By Pamela M. Pelizzari - Article

This paper outlines the major provisions of the newly announced Bundled Payments for Care Improvement Advanced model.

Survival of Medicare fee-for-service chemotherapy patients by site of care07 February 2018 - By Pamela M. Pelizzari and Christine Ferro and Sean Pittinger and Bruce S. Pyenson - Article

This report compares the 36-month cancer survival rate by treatment facility type for 46,762 Medicare fee-for-service patients treated with chemotherapy under the Medicare Part B benefit for breast, colon, lung, ovarian, pancreatic, or prostate cancer.

Comprehensive Care for Joint Replacement Performance Year 1 results: Key considerations08 January 2018 - By Pamela M. Pelizzari and Jocelyn Lau and Harsha Mirchandani - Article

This paper combines data from the report of Performance Year 1 (PY1) results and other publically available sources to compare hospitals that received payments in the Comprehensive Care for Joint Replacement model PY1 to those that did not.

Addressing challenges in the transition to value-based care and alternative payment models: A case study in the Oncology Care Model11 December 2017 - By Maggie Alston and Christine Ferro and L. Daniel Muldoon and Pamela M. Pelizzari - Article

This paper highlights the key aspects of alternative payment model payment methodologies and uses the Centers for Medicare and Medicaid Services Oncology Care Model as a case study to illustrate these concepts.

Developing alternative payment models under MACRA01 December 2017 - By L. Daniel Muldoon and Pamela M. Pelizzari - Article

This paper explores key clinical and financial considerations that need to be addressed in a robust alternative payment model proposal.

The future of Medicare's episode-based payments21 November 2017 - By L. Daniel Muldoon and Pamela M. Pelizzari - Article

Given the many drivers of change in payment and service delivery reform recently, providers that have been working to redesign their care delivery to align with the value-based payment goals of Medicare are asking themselves if value-based payment is here to stay and whether it is worth the continued investment.

Premium support models for Medicare: Practical considerations17 October 2017 - By Catherine M. Murphy-Barron and Pamela M. Pelizzari - Article

This paper describes some of the key financial and insurance issues involved in premium support proposals for Medicare Parts A and B.


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