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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

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

Timothy Stoltzfus Jost

Lawrence P. Casalino

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780195390131.003.009

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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