TY - JOUR KW - Cost Control/methods KW - Health Care Costs KW - Health Care Reform/economics KW - Humans KW - Insurance, Health/economics/organization & administration/standards KW - Politics KW - Quality Assurance, Health Care/economics/methods KW - Reimbursement Mechanisms/economics KW - United States AU - R. F. Averill AU - N. I. Goldfield AU - J. C. Vertrees AU - E. C. McCullough AU - R. L. Fuller AU - J. Eisenhandler A1 - AB - The healthcare reform goal of increasing eligibility and coverage cannot be realized without simultaneously achieving control over healthcare costs. The reform of existing payment systems can provide the financial incentive for providers to deliver care in a more coordinated and efficient manner with minimal changes to existing payer and provider infrastructure. Pay for performance, best practice pricing, price discounting, alignment of incentives, the medical home, payment by episodes, and provider performance reports are a set of payment reforms that can result in lower costs, better coordination of care, improved quality of care, and increased consumer involvement. These reforms can produce immediate Medicare annual savings of $10 billion and create the framework for future savings by establishing financial incentives for long-term provider behavior changes that can lead to lower costs. BT - The Journal of ambulatory care management C5 - Financing & Sustainability; Healthcare Policy CP - 1 CY - United States DO - 10.1097/JAC.0b013e3181c9f437 IS - 1 JF - The Journal of ambulatory care management N2 - The healthcare reform goal of increasing eligibility and coverage cannot be realized without simultaneously achieving control over healthcare costs. The reform of existing payment systems can provide the financial incentive for providers to deliver care in a more coordinated and efficient manner with minimal changes to existing payer and provider infrastructure. Pay for performance, best practice pricing, price discounting, alignment of incentives, the medical home, payment by episodes, and provider performance reports are a set of payment reforms that can result in lower costs, better coordination of care, improved quality of care, and increased consumer involvement. These reforms can produce immediate Medicare annual savings of $10 billion and create the framework for future savings by establishing financial incentives for long-term provider behavior changes that can lead to lower costs. PP - United States PY - 2010 SN - 1550-3267; 0148-9917 SP - 2 EP - 23 EP - T1 - Achieving cost control, care coordination, and quality improvement through incremental payment system reform T2 - The Journal of ambulatory care management TI - Achieving cost control, care coordination, and quality improvement through incremental payment system reform U1 - Financing & Sustainability; Healthcare Policy U2 - 20026992 U3 - 10.1097/JAC.0b013e3181c9f437 VL - 33 VO - 1550-3267; 0148-9917 Y1 - 2010 ER -