The Next Stage of Health Care Reform: Controlling Costs by Paying Health Plans Based on Health Outcomes
Dale B. Thompson
University of St. Thomas - Department of Ethics & Business Law
July 26, 2010
Akron Law Review, Forthcoming
The predominant form of paying for health care in the United States (Fee-for-Service) creates inefficient incentives and leads to rising costs. A number of changes were incorporated into the health care reform legislative package of 2010, but these changes will not stop rising costs. Instead, this article proposes that the reimbursement structure for the Medicare Advantage program be revised so that medical plans receive their payments based on delivery of health outcomes, not delivery of health services. This approach utilizes centralized enforcement at the level of the plan, to provide incentives for the plan to encourage its providers to improve health outcomes.
Number of Pages in PDF File: 40
Keywords: Health Care Reform, Medicare Advantage, Health Outcomes, Federalism
JEL Classification: I18, H51, K32Accepted Paper Series
Date posted: July 30, 2010 ; Last revised: April 17, 2011
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