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The Fragmentation of U.S. Health CareCauses and Solutions$
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Einer Elhauge

Print publication date: 2010

Print ISBN-13: 9780195390131

Published to Oxford Scholarship Online: May 2010

DOI: 10.1093/acprof:oso/9780195390131.001.0001

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Value-based Purchasing Opportunities in Traditional Medicare

Value-based Purchasing Opportunities in Traditional Medicare

A Proposal and Legal Evaluation

(p.201) 9 Value-based Purchasing Opportunities in Traditional Medicare
The Fragmentation of U.S. Health Care

Timothy Stoltzfus Jost

Lawrence P. Casalino

Oxford University Press

This chapter proposes the adaptation of traditional Medicare to accommodate value-purchasing strategies, specifically medical homes and accountable care systems. It also examines legal barriers under the Medicare law and other federal and state laws to implementing these strategies.

Keywords:   accountable care systems, medical homes, Medicare, fraud and abuse, antitrust, self-referrals, value-based purchasing

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