Research Topics
| Robert E MechanicSummaryAffiliation: Brandeis University Country: USA Publications
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Detail Information
Publications
The new era of payment reform, spending targets, and cost containment in Massachusetts: early lessons for the nationRobert E Mechanic
Brandeis University, Waltham, Massachusetts, USA
Health Aff (Millwood) 31:2334-42. 2012..Finally, the effectiveness of new cost control laws will depend on changes in providers' and insurers' behavior; in Massachusetts, private market activity has had a complementary impact on the pace of health system change...
Many large medical groups will need to acquire new skills and tools to be ready for payment reformRobert Mechanic
Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA
Health Aff (Millwood) 31:1984-92. 2012..The difficulty of implementing these changes in complex health care organizations should not be underestimated...
Payment reform options: episode payment is a good place to startRobert E Mechanic
Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA
Health Aff (Millwood) 28:w262-71. 2009..We argue that episode payments are the most immediately viable approach, and we recommend that payment reforms precede any payment reductions so that new delivery models can gain traction...
Medical group responses to global payment: early lessons from the 'Alternative Quality Contract' in MassachusettsRobert E Mechanic
Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA
Health Aff (Millwood) 30:1734-42. 2011....
The 'Alternative Quality Contract,' based on a global budget, lowered medical spending and improved qualityZirui Song
Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 31:1885-94. 2012..These results suggest that global budgets with pay-for-performance can begin to slow underlying growth in medical spending while improving quality of care...
Private-payer innovation in Massachusetts: the 'alternative quality contract'Michael E Chernew
Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 30:51-61. 2011..This arrangement exemplifies the type of experimentation encouraged by the Affordable Care Act. We describe this unique contract and show how it surmounts hurdles previously encountered with other global-payment models...
What will become of the medical mecca? Health care spending in MassachusettsRobert E Mechanic
Robert Mechanic and Associates, Cambridge, Massachusetts, USA
Health Aff (Millwood) 22:130-41. 2003..Applying new information technologies to proactively manage patients with expensive chronic illnesses is a critical area for future collaboration between payers and AHCs...
