Spinelli, Adam
(2018)
Value-based healthcare at Highmark, Inc.
Master Essay, University of Pittsburgh.
Abstract
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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Details
| Item Type: |
Other Thesis, Dissertation, or Long Paper
(Master Essay)
|
| Status: |
Unpublished |
| Creators/Authors: |
|
| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Committee Chair | VanNostrand, Elizabeth | evannostrand@pitt.edu | UNSPECIFIED | UNSPECIFIED | | Committee Co-Chair | James, Thomas | Thomas.James@highmark.com | UNSPECIFIED | UNSPECIFIED | | Committee Co-Chair | Martinson, Jeremy | jmartins@pitt.edu | UNSPECIFIED | UNSPECIFIED |
|
| 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 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/34169 |
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