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Value-based healthcare at Highmark, Inc.

Spinelli, Adam (2018) Value-based healthcare at Highmark, Inc. Master Essay, University of Pittsburgh.

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In 2015, the US Congress passed legislation entitled the Medicare Access and CHIP [Children’s Health Insurance Program] Reauthorization Act (MACRA), which led to the creation of two reimbursement models: merit-based incentive payment systems (MIPS) and alternative payment models (APMs). These models are the first and most significant step towards shifting the United States health care system from one that practices fee-for-service billing to a system that rewards value care over volume. Highmark, Inc. has recognized the value of these models, and has begun incentivizing providers to participate in value-based health care by offering programs that reimburse providers in a manner similar to MIPS and APMs. This paper will be a review of value-based healthcare, their public health relevance, and how healthcare organizations are incentivizing its practice by making value-based healthcare financially feasible for healthcare providers.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Spinelli, Adamars244@pitt.eduars244
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairVanNostrand, Elizabethevannostrand@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee Co-ChairJames, ThomasThomas.James@highmark.comUNSPECIFIEDUNSPECIFIED
Committee Co-ChairMartinson, Jeremyjmartins@pitt.eduUNSPECIFIEDUNSPECIFIED
Date: 6 April 2018
Date Type: Submission
Number of Pages: 28
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 19 Aug 2019 16:28
Last Modified: 19 Aug 2019 16:28


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