Oct. 6, 2011
New England Journal of Medicine , Vol. 365, No. 14
Paul B. Ginsburg
Its pretty basic economics: spending equals price times quantity. For some time, public health care payers, such as Medicare and Medicaid, have focused much of their cost-containment effort on constraining the prices they pay for health care services, which they set administratively. The Affordable Care Act includes additional constraints on Medicare prices as an important source of savings. But public payers recognize the limits of this strategy and hope to develop better methods of paying providerssuch as bundled payment for episodes of care and payments to accountable care organizations (ACOs) and patient-centered medical homesthat will create incentives for treating patients using services more efficiently.
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