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5.5: References and Attributions

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    82864
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    References

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    Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health, and cost. Health Affairs, 27(3), 759-769. doi.org/10.1377/hlthaff.27.3.759

    Biles, B., Guterman, S., & Arnold, G. (2011). Medicare Advantage in the era of health reform: Progress in leveling the playing field. New York (NY): Commonwealth Fund. https://www.commonwealthfund.org/sit..._reform_ib.pdf

    Center on Budget and Policy Priorities. (2020). The far-reaching benefits of the Affordable Care Act’s Medicaid expansion. www.cbpp.org/research/health...mic%20mobility

    Centers for Medicare & Medicaid Services. (n.d.-a). Know your rights: Emergency Medical Treament and Labor Act (EMTALA). https://www.cms.gov/files/document/e...our-rights.pdf

    Centers for Medicare & Medicaid Services. (n.d.-b). Medicare FFS physician feedback program/value-based payment modifier. https://www.cms.gov/Medicare/Medicar...eedbackProgram

    Centers for Medicare & Medicaid Services. (n.d.-c). Deadlines and key dates: HIPAA administrative simplification compliance. https://www.cms.gov/Regulations-and-...s-20181116.pdf

    Centers for Medicare & Medicaid Services. (n.d.-d). Capitation and pre-payment. https://innovation.cms.gov/key-conce...od%20of%20time.

    Centers for Medicare & Medicaid Services. (2019). Accountable care organizations (ACOs). www.cms.gov/medicare/medicar...ce-payment/aco

    Centers for Medicare & Medicaid Services. (2020). Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model. https://innovation.cms.gov/data-and-...t-findings-aag

    Centers for Medicare and Medicaid Services. (2022a). Bundled payments for care improvement (BPCI) initiative: General information. https://innovation.cms.gov/innovatio...ndled-payments

    Centers for Medicare and Medicaid Services. (2022b). What are the value-based programs? https://www.cms.gov/Medicare/Quality...Based-Programs

    Centers for Medicare and Medicaid Services. (2023). BPCI Advanced. https://innovation.cms.gov/innovatio.../bpci-advanced

    Colla, C., & Skinner, J. (2020). The Affordable Care Act made healthcare (slightly) more affordable. Health Affairs. doi.org/10.1377/forefront.20200313.368916

    Commonwealth Fund. (2010a). What will happen under health reform – and what’s next? https://www.commonwealthfund.org/pub...and-whats-next

    Commonwealth Fund. (2010b). Timeline for health care reform implementation; system and delivery reform provisions. http://www.healthedpartners.org/ceu/...ormsummary.pdf

    Commonwealth Fund. (2019). Health Iinsurance coverage eight years after the ACA: Fewer uninsured Americans and shorter coverage gaps, but more underinsured. Survey Brief. https://www.commonwealthfund.org/sit...rvey_sb_v2.pdf

    Congressional Budget Office. (2010a). Letter to Speaker of the House, Honorable Nancy Pelosi, 20 January 2010. www.cbo.gov/sites/default/files/hr4872 _0.pdf

    Congressional Budget Office. (2010b). H.R. 4872, Reconciliation Act of 2010 (Final Health Care Legislation), 20 March 2010. w w w.cbo.gov/ publication/21351

    Congressional Budget Office. (2012a). The health care system for veterans: An interim report. https://www.cbo.gov/sites/default/fi...text.3.1.shtml

    Congressional Budget Office. (2012b). Estimates for the insurance coverage provisions of the Affordable Care Act updated for the recent Supreme Court Decision, 24 July 2012. https://www.cbo.gov/publication/43472

    Cutler, D. M., Davis, K., & Stremikis, K. (2009). Why health reform will bend the cost curve. Commonwealth Fund. https://www.commonwealthfund.org/pub...end-cost-curve

    Duncan, I. (2014). Managing and evaluating healthcare intervention programs. Actex Publications.

    Duncan, I. (2022). Value-based contracting in health care. Health Insurance. https://doi.org/10.5772/intechopen.103021

    Garfield, R., Orgera, K., & Damico, A. (2019). The uninsured and the ACA: a primer-key facts about health insurance and the uninsured amidst changes to the affordable care act. Kaiser Family Foundation. https://www.kff.org/uninsured/report...able-care-act/

    Graham, C., Ross, L., Bueno, E. B., & Harrington, C. (2018). Assessing the quality of nursing homes in managed care organizations: Integrating ltss for dually eligible beneficiaries. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 0046958018800090. doi.org/10.1177/0046958018800090

    Hardin, L., Kilian, A., & Murphy, E. (2017). Bundled payments for care improvement: Preparing for the medical diagnosis-related groups. The Journal of Nursing Administration, 47(6), 313-319. https://doi.org/10.1097/nna.0000000000000492

    Harrington, C., Mukamel, D., & Rosenau, P. (2012). Exploring the concept of medical loss ratios (MLRs) for nursing homes. Kaiser Family Foundation. https://www.kff.org/wp-content/uploa...facilities.pdf

    Hinton E., & Musumeci, M. (2020). Medicaid nanaged care rates andflexibilities: State options to respond to COVID-19 pandemic. Kaiser Family Foundation. https://www.kff.org/medicaid/issue-b...d-19-pandemic/

    Internal Revenue Service. (2023). Topic No. 502 medical and dental expenses. https://www.irs.gov/taxtopics/tc502

    Jacobs, L., & Skocpol, T. (2010). Health care reform and American politics: What everyone needs to know. Oxford University Press.

    Kaiser Family Foundation. (2011). Summary of the Affordable Care Act. https://www.kff.org/health-reform/fa...able-care-act/

    Kaiser Family Foundation. (2019a). Medicaid waiver tracker: Approved and pending section 1115 waivers by state. https://www.kff.org/medicaid/issue-b...vers-by-state/

    Kaiser Family Foundation. (2019b). Marketplace average benchmark premiums. www.kff.org/health-reform/state-indicator/marketplace-average-benchmark-premiums/currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

    Magill, M. K. (2016). Time to do the right thing: end fee-for-service for primary care. Annals of Family Medicine, 14(5), 400-401. https://doi.org/10.1370/afm.1977

    Matthews, M. L. (2016). Managed care 101: Utilization management. California Association of Physician Groups Symposium. www.apg.org/wp-content/uploa...e-Matthews.pdf

    McGlynn, E. A., Asch, S. M., Adams, J., Keesey, J., Hicks, J., DeCristofaro, A., & Kerr, E. A. (2003). The quality of health care delivered to adults in the United States. New England Journal of Medicine, 348(26), 2635-2645. doi.org/10.1056/nejmsa022615

    Mercer, M. (2013). The Affordable Care Act’s insurance marketplace opens for business. AARP Bulletin. https://www.aarp.org/health/health-i...rketplace.html

    Muhlestein, D., Saunders, R., & McClellan, M. (2017). Growth of ACOs and alternative payment models in 2017. Health Affairs Blog, 28. www.healthaffairs.org/do/10....170628.060719/

    Muhlestein, D., Saunders, R., Richards, R., & McClellan, M. (2018). Recent progress in the value journey: growth of ACOs and value-based payment models in 2018. Health Affairs Blog, 10. www.healthaffairs.org/do/10.1377/ hblog20180810.481968/full/

    National Institutes of Health. (2012). Greek medicine. https://www.nlm.nih.gov/hmd/greek/greek_oath.html

    Nelson, L. (2012). Lessons from Medicare’s demonstration projects on disease management and care coordination. Washington DC: Congressional Budget Office.

    Peikes, D., Brown, R., Chen, A., & Schore, J. (2008). Third report to Congress on the evaluation of the Medicare coordinated care demonstration. In Final Report to Congress. Princeton, NJ: Mathematica Policy Research, Inc. www. mathematica-mpr. com/publications/PDFs/Health/MCCD_rptcongress08. pdf

    Peikes, D., Chen, A., Schore, J., & Brown, R. (2009). Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA, 301(6), 603-618. https://doi.org/10.1001/jama.2009.126

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    Attribution

    Selected content from:

    1. “Introduction to the U.S. Healthcare System” by Thomas A. Clobes is licensed under CC BY-NC-SA 4.0 by-nc-sa. Chapter 12 . https://scholarworks.calstate.edu/co...m064?locale=en
    2. Reprinted from United States: Health System Review 2020 , Vol 22(4), Ewout van Ginneken (ed.), Health Systems in Transition / Chapter 6 (pgs. 310-317) / Copyright 2020. Accessed January 30, 2023. https://eurohealthobservatory.who.in...em-review-2020
    3. Economics – Theory Through Applicationsby Saylor Academy is licensed under CC BY-NC-SA 3.0. by-nc-sa. Chapter 16.4. https://socialsci.libretexts.org/Book...h-Care_Markets.
    4. Chapter 9, Value-Based Contracting in Health Care” by Ian Duncan, found in the book “Health Insurance” (Isabel Tavares, A. Ed.), is licensed under CC BY 3.0 CC-BY-3.0.jpg.

    Click here to move on to Chapter 6: Technology in Healthcare.


    This page titled 5.5: References and Attributions is shared under a CC BY-NC-SA 4.0 license and was authored, remixed, and/or curated by Karen Valaitis via source content that was edited to the style and standards of the LibreTexts platform.

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