Pbf And Healthcare Reform

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Performance-based financing as a health system reform: mapping …

(3 days ago) WEBHis main domain of expertise is health sector reform, health care financing, performance-based financing, and social health protection in low- and middle-income countries. He has contributed to the design and the study of PBF reforms since …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849795/

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Performance-based financing as a health system reform: …

(6 days ago) WEBPBF, which is chosen because it is one of the most com-mon approaches being tested in low and middle income countries at present and, secondly, because it involves a more ambitious change to the organization of health systems. The core features of PBF, as currently practiced in reform packages such as those implemented at scale

https://documents1.worldbank.org/curated/en/532771467988881860/pdf/102472-JRN-Box394835B-PUBLIC-Performance-based-financing-as-a-health-system.pdf

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Strengthening performance-based financing as a health system …

(3 days ago) WEBLow quality of care (QoC) is an important cause of this discrepancy, and it calls for putting quality improvement on the global health agenda. As an approach to enhance QoC in LMICs, performance-based financing (PBF), which incentivizes health providers based on predetermined indicators, has been piloted or implemented in more …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326387/

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Performance-based financing as a health system reform: mapping …

(1 days ago) WEBBackground: Performance-based financing is increasingly being applied in a variety of contexts, with the expectation that it can improve the performance of health systems. However, while there is a growing literature on implementation issues and effects on outputs, there has been relatively little focus on interactions between PBF and …

https://pubmed.ncbi.nlm.nih.gov/24073625/

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Decentralized facility financing versus performance-based …

(3 days ago) WEBHealth system financing presents a challenge in many developing countries. We assessed two reform packages, performance-based financing (PBF) and direct facility financing (DFF), against each other and business-as-usual for maternal and child healthcare (MCH) provision in Nigeria. We sampled 571 facilities (269 in PBF; 302 in …

https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-02092-4

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Performance-Based Financing as a Health System Reform : …

(4 days ago) WEBPBF schemes are flourishing and cause considerable demand for technical assistance in executing these health reforms in a rational and accountable manner. Currently there is a lack of knowledge among many health reformers of how to implement performance-based financing pilot projects, and scale them up intelligently.

https://openknowledge.worldbank.org/handle/10986/23158

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Performance-Based Financing as a Health System Reform and …

(4 days ago) WEBPresents a research agenda and cautionary evidence on the risks of overutilization of care on using performance-based financing (PBF) to develop health systems, describing the role of PBF in the development of health systems, including (1) avoiding nonindicated care and wasted resources; (2) integrating quality measurement into health systems; and (3) …

https://elibrary.worldbank.org/doi/10.1596/978-1-4648-1825-7_ch7

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Financing Common Goods for Health Special Journal Issue

(7 days ago) WEBIt clarifies the link between PBF initiatives and efforts to achieve the universal health coverage goals. Challenges However, it is also important to mention that PBF effectiveness depends critically on its connections with the wider environment of purchaser–provider relations and the overall health system reform dynamic.

https://www.who.int/teams/health-systems-governance-and-financing/health-financing/policy/performance-based-financing

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Can performance-based financing be used to reform health …

(Just Now) WEBquality of health system output while minimizing costs. There is very little, if any, evidence of the cost-effectiveness of PBF.8,13 In addition to the extra funding needed to pay incentives and thus increase health-worker earnings, the transaction costs of PBF Can performance-based financing be used to reform health systems in developing

https://apps.who.int/iris/bitstream/handle/10665/270975/PMC3165979.pdf

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Performance-based financing in low-income and - BMJ Global …

(8 days ago) WEBThis paper questions the view that performance-based financing (PBF) in the health sector is an effective, efficient and equitable approach to improving the performance of health systems in low-income and middle-income countries (LMICs). PBF was conceived as an open approach adapted to specific country needs, having the potential to foster system …

https://gh.bmj.com/content/3/1/e000664

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Evaluating performance-based financing in low - BMJ Global …

(8 days ago) WEBIn some instances, heterogeneity arises as PBF is implemented alongside another health financing reform (eg, health insurance, user fee removal) or in a fragile and conflict-affected region.9 At subnational level, PBF effects may for instance vary substantially across districts and facilities, levels of care or public and private facilities.

https://gh.bmj.com/content/5/8/e003136

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Full article: Is Performance-Based Financing A Pathway to Strategic

(6 days ago) WEBIntroduction. Performance-based financing (PBF) has been one of the most studied and debated health financing approaches over the past decade. The World Health Organization (WHO) defines PBF as “a form of service provider payment where financial incentives are directed only to healthcare providers (not beneficiaries) when they …

https://www.tandfonline.com/doi/full/10.1080/23288604.2022.2068231

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Learning from the past: A systems approach to facility financing

(1 days ago) WEBIts proponents characterized PBF as a system-wide reform. Its critics feel PBF reforms have been “ donor-driven fad s” implemented in “ project mode ” and have fallen short of this promise. For example, PBF schemes relied on new structures to verify results instead of strengthening existing information systems, and the payments were not

https://blogs.bmj.com/bmjgh/2023/11/15/learning-from-the-past-a-systems-approach-to-facility-financing-reforms/

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Setting performance-based financing in the health sector …

(8 days ago) WEBUnder PBF, health care facilities and health care workers have more autonomy and receive financial resources upon taking measurable actions or achieving predetermined perform-ance targets. The emergence of performance-based fund-ing programs is part of comprehensive reform goals that can influence all pillars of the health system [13]. Cur-

https://globalizationandhealth.biomedcentral.com/track/pdf/10.1186/s12992-017-0278-9.pdf

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Setting performance-based financing in the health sector agenda: …

(3 days ago) WEBMore than 30 countries in sub-Saharan Africa have introduced performance-based financing (PBF) in their healthcare systems. Yet, there has been little research on the process by which PBF was put on the national policy agenda in Africa. This study examines the policy process behind the introduction of PBF program in Cameroon. The …

https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-017-0278-9

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Implementing performance-based financing in peripheral health …

(3 days ago) WEBNumerous sub-Saharan African countries have experimented with performance-based financing (PBF) with the goal of improving health system performance. To date, few articles have examined the implementation of this type of complex intervention in Francophone West Africa. This qualitative research aims to understand the process of …

https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-020-00566-0

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Health Care Economics Harvard Online Healthcare Course

(6 days ago) WEBMichael Chernew, PhD, is the Leonard D. Schaeffer Professor of Health Care Policy at Harvard Medical School.Dr. Chernew’s research examines several areas related to improving the health care system, including studies of novel benefit designs, Medicare Advantage, alternative payment models, low-value care, and the causes and …

https://www.harvardonline.harvard.edu/course/health-care-economics

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Who's to blame for the crisis of the healthcare system?

(9 days ago) WEBThis lack of reform has led to a passive privatization of the system (Hacker, 2004) and left many organizational problems unaddressed, such as the limited implementation of electronic health records, perverse incentives generated by the fee-for-service remuneration of physicians and constant medical staff shortages.

https://onlinelibrary.wiley.com/doi/full/10.1111/capa.12559

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Performance-based financing as a health system reform: mapping …

(6 days ago) WEBHis main domain of expertise is health sector reform, health care financing, performance-based financing, and social health protection in low- and middle-income countries. He has contributed to the design and the study of PBF reforms since 2000 and is the lead facilitator of the Performance Based Financing Community of Practice.

https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-13-367

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P6: Understanding the Combined Impact of Healthcare Delivery …

(5 days ago) WEBThis study examines the combined impact of primary care organization participation in multiple healthcare delivery and payment reform models on care quality and value. Study Overview. Problem: Multiple delivery and payment reform efforts seek to reduce healthcare costs and improve quality in the U.S. The impacts of these voluntary …

https://www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p6-adler-milstein.html

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What is PBF? SINA Health

(9 days ago) WEBPBF aims at wide reforms and PBF is, in fact, a new (health) reform approach. PBF advocates that the first objective of providers should be to deliver all components of health or educational packages of good quality. The second objective is to do this in the most efficient manner. Once quality and efficiency are in place governments are more

https://www.sina-health.com/?page_id=80

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Funding & Grants Agency for Healthcare Research and Quality

(9 days ago) WEBGrant announcements from AHRQ for supporting research to improve the quality, effectiveness, accessibility, and cost effectiveness of health care Research Policies Policies and procedures, agency requests, and notices published in …

https://www.ahrq.gov/funding/index.html

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Medicare trustees warn of payment issue’s impact on access to care

(Just Now) WEBThe trustees warned of the gap created between rising costs and physician payments, noting that the “quality of health care received by Medicare beneficiaries would, under current law, fall over time compared to that received by those with private health insurance.” The report is the latest call for Medicare reform. The Medicare Payment

https://www.ama-assn.org/press-center/press-releases/medicare-trustees-warn-payment-issue-s-impact-access-care

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House panel eyes PBM reform to pay for telehealth extensions

(2 days ago) WEBA House proposal includes extension of more flexible rules for telehealth and hospital home-care programs. To pay for it, it seeks new limits on pharmacy benefit managers.

https://www.statnews.com/2024/05/07/telehealth-rules-hospital-home-care-pbm-limits-congress/

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NACDS to Congress: Make PBM reform a priority in Change …

(4 days ago) WEBWe urge Congress to include PBM reform as part of these hearings in both the U.S. House of Representatives and the U.S. Senate." [Read more: NACDS Annual Business Program highlights innovation

https://drugstorenews.com/nacds-congress-make-pbm-reform-priority-change-healthcare-cyberattack-hearings

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NACDS: Change Healthcare Attack Shows Need For PBM Reform

(4 days ago) WEBNACDS: Change Healthcare Attack Shows Need For PBM Reform. By Gabrielle Wanneh / May 1, 2024 at 7:23 PM Tweet; billing problems faced by pharmacies in the aftermath of the March Change Healthcare cyberattack that crippled the health care system and must be reformed. The National Association of Chain Drug Stores (NACDS) …

https://insidehealthpolicy.com/daily-news/nacds-change-healthcare-attack-shows-need-pbm-reform

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Certificate of Need Regulatory Reform - New York State …

(Just Now) WEBReform Public Health and Health Planning Council Educational Session. May 9, 2024. 2 • New York’s Certificate of Need program (CON), together health care environment. • Focus Department and Public Health and Health Planning Council resources on issues and projects

https://www.health.ny.gov/facilities/public_health_and_health_planning_council/meetings/2024-05-8_9/docs/con_regulatory_reform.pdf

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Postal Service Reform Act; Establishment of the Postal Service …

(9 days ago) WEB• Postal Service annuitants and their family members enrolled in certain Department of Veterans Affairs (VA) health care benefits. This exemption is derived from 5 U.S.C. 8903c(e)(3)(A)(iv)(II), which refers to individuals “enrolled in health care benefits provided by the VA under subchapter II of chapter 17 of title 38, United States Code.”

https://www.federalregister.gov/documents/2024/05/06/2024-09565/postal-service-reform-act-establishment-of-the-postal-service-health-benefits-program

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A field guide to U.S. healthcare reform: The evolution to

(3 days ago) WEB1. INTRODUCTION. In the United States (U.S.) between 1960 and 2019, healthcare spending as a percentage of U.S. Gross Domestic Product (GDP) grew from 5% to 17.7%, reaching $3.8 trillion dollars in 2019 (Figure 1). 1 Payment reform models have emerged to both control this growing expense and realign how quality, as a return …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223464/

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OPM tweaks its final rule for the postal health benefits plan

(2 days ago) WEBThe Postal Service Health Benefits program, established by the 2022 Postal Service Reform Act, will provide an estimated 1.9 million USPS employees, retirees and dependents with their own health

https://www.govexec.com/pay-benefits/2024/05/opm-tweaks-final-rule-postal-health-benefits-plan/396374/

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Major Traffic Safety Reform and Road Traffic Injuries Among Low …

(2 days ago) WEBObjectives. To evaluate the effects of a comprehensive traffic safety policy—New York City’s (NYC’s) 2014 Vision Zero—on the health of Medicaid enrollees. Methods. We conducted difference-in-differences analyses using individual-level New York Medicaid data to measure traffic injuries and expenditures from 2009 to 2021, …

https://ajph.aphapublications.org/doi/10.2105/AJPH.2024.307617

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Carer’s allowance scandal is not going away – but will DWP reform

(5 days ago) WEBThere are also calls for longer-term reform of carer’s allowance to iron out the unfairness embedded in the way it is designed, thus making it fit for the modern world of work and care.

https://www.theguardian.com/society/article/2024/may/09/carers-allowance-scandal-is-not-going-away-but-will-dwp-reform-happen

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Federal Register /Vol. 89, No. 92/Friday, May 10, 2024

(8 days ago) WEBadopted standards for health care transactions and code sets.1 Subsequent to the Transactions Rule, CMS–0003–P and CMS–0005–P proposed modifications to the adopted standards essential to permit initial implementation of the standards throughout the entire healthcare industry. Currently, MACs have a process in place to enroll providers for

https://www.govinfo.gov/content/pkg/FR-2024-05-10/pdf/2024-10188.pdf

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(PDF) Performance-based financing as a health system …

(4 days ago) WEBThe core features of PBF, as currently practiced in reform packages such as those implemented at scale in Central and West Africa, are summarized as follows: They take a supply-side approach, meaning performance …

https://www.academia.edu/17437459/Performance_based_financing_as_a_health_system_reform_mapping_the_key_dimensions_for_monitoring_and_evaluation

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The Leasehold and Freehold Reform Bill – the latest developments …

(6 days ago) WEBSummary. Following publication of the Leasehold and Freehold Reform Bill (the “Bill”) on 27 November 2023, the Bill has been progressing through the legislative process and the latest iteration was published on 1 May 2024, showing the amendments made to date by the House of Lords following its Committee Stage which we consider …

https://cms-lawnow.com/en/ealerts/2024/05/the-leasehold-and-freehold-reform-bill-the-latest-developments-in-the-house-of-lords

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