The Affordable Care Act and the Medicare Program: Linking Medicare Payment to Quality Performance
New York University Annual Survey of American Law, Forthcoming
Indiana University Robert H. McKinney School of Law Research Paper No. 2013-01
30 Pages Posted: 5 Dec 2012 Last revised: 24 Jan 2013
There are 2 versions of this paper
The Affordable Care Act and the Medicare Program: Linking Medicare Payment to Quality Performance
The Affordable Care Act and the Medicare Program: Linking Medicare Payment to Quality Performance
Date Written: August 4, 2012
Abstract
Value-based purchasing is a major strategy for reducing the escalation of Medicare expenditures. The theory of value-based purchasing is to change the basis of payment for services from a formula based on events and resources used in an episode of care to a formula based on performance on specific quality measures. This article reviews the development of value-based purchasing in the Medicare program since its inception at the turn of the century. The article then explains how ACA expands and enhances value-based purchasing from just inpatient hospitals to physicians and other providers. Then the article analyzes what the future implications of value-based purchasing will be for the US health care sector.
Keywords: health care law and policy
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