The financing of health care delivery:
An interactive bibliography
Health care delivery
Accountability
Financial risk to the health
care institution
Extent of system
redesign
Slide adapted from:
William A. Bornstein MD, PhD
Emory Healthcare.
Presented at AAMC IQ June 13, 2014
Fee-for-service
+
PCMH & DRGs
Ann Intern Med. 2013. PMID 24779044
Pay-for-performance
via quality measures
NEJM 2007. PMID 17259444
Bundled payments
via DRG episodes
Shared savings
via ACOs
JAMA 2012 PMID: 22968890
Capitation/global payments
examples: CMS
Advance
&
Advantage
JAMA 2013. PMID: 23839749
Capitation with Provider-
payer integration
example: Kaiser
BMJ 2003 PMID 14644968 JAMA 2013 PMID: 23989679
The
upper right has the most
system redesign, accountability, and financial risk to the health care institution.