Richard F Averill

Summary

Affiliation: St. Paul
Country: USA

Publications

  1. ncbi A closer look at all-patient refined DRGs
    Richard F Averill
    3M Health Information Systems, Wallingford, CT, USA
    J AHIMA 73:46-50. 2002
  2. doi Achieving cost control, care coordination, and quality improvement through incremental payment system reform
    Richard F Averill
    3M Health Information Systems, Wallingford, Connecticut 06492, USA
    J Ambul Care Manage 33:2-23. 2010
  3. ncbi Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management
    John S Hughes
    Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    Med Care 42:81-90. 2004
  4. ncbi Redesigning the Medicare inpatient PPS to reduce payments to hospitals with high readmission rates
    Richard F Averill
    3M Health Information Systems, Wallingford, CT 06492, USA
    Health Care Financ Rev 30:1-15. 2009
  5. ncbi Paying for outcomes, not performance: lessons from the Medicare Inpatient Prospective Payment System
    Richard F Averill
    3M Health Information Systems, Inc, Wallingford Connecticut, USA
    Jt Comm J Qual Patient Saf 37:184-92, 145. 2011
  6. ncbi Redesigning Medicare inpatient PPS to adjust payment for post-admission complications
    Richard F Averill
    3M Health Information Systems, Wallingford, CT 06492, USA
    Health Care Financ Rev 27:83-93. 2006
  7. doi Developing a prospective payment system based on episodes of care
    Richard F Averill
    3M Health Information Systems, Wallingford, Connecticut 06492, USA
    J Ambul Care Manage 32:241-51. 2009
  8. doi Adjusting Medicaid managed care payments for changes in health status
    Richard L Fuller
    3M Health Information Systems, Inc, Silver Spring, MD 20904, USA
    Med Care Res Rev 70:68-83. 2013
  9. doi Inappropriate use of payment weights to risk adjust readmission rates
    Richard L Fuller
    3M Health Information Systems, Inc, Silver Spring, MD, USA
    Am J Med Qual 27:341-4. 2012
  10. ncbi A new approach to reducing payments made to hospitals with high complication rates
    Richard L Fuller
    3M Health Information Systems, Silver Spring, MD 20904, USA
    Inquiry 48:68-83. 2011

Detail Information

Publications14

  1. ncbi A closer look at all-patient refined DRGs
    Richard F Averill
    3M Health Information Systems, Wallingford, CT, USA
    J AHIMA 73:46-50. 2002
  2. doi Achieving cost control, care coordination, and quality improvement through incremental payment system reform
    Richard F Averill
    3M Health Information Systems, Wallingford, Connecticut 06492, USA
    J Ambul Care Manage 33:2-23. 2010
    ..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...
  3. ncbi Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management
    John S Hughes
    Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    Med Care 42:81-90. 2004
    ....
  4. ncbi Redesigning the Medicare inpatient PPS to reduce payments to hospitals with high readmission rates
    Richard F Averill
    3M Health Information Systems, Wallingford, CT 06492, USA
    Health Care Financ Rev 30:1-15. 2009
    ..25, 1.92, and 2.58 billion for readmission windows of 7, 15, and 30 days, respectively...
  5. ncbi Paying for outcomes, not performance: lessons from the Medicare Inpatient Prospective Payment System
    Richard F Averill
    3M Health Information Systems, Inc, Wallingford Connecticut, USA
    Jt Comm J Qual Patient Saf 37:184-92, 145. 2011
    ..Drawing on lessons learned from the implementation of the Medicare Inpatient Prospective Payment System (IPPS), the authors propose principles for the design and implementation of a hospital payment system based on paying for outcomes...
  6. ncbi Redesigning Medicare inpatient PPS to adjust payment for post-admission complications
    Richard F Averill
    3M Health Information Systems, Wallingford, CT 06492, USA
    Health Care Financ Rev 27:83-93. 2006
    ..Based on the redesigned IPPS, the increase in Medicare payments due to post-admission complications was reduced by more than one billion dollars annually...
  7. doi Developing a prospective payment system based on episodes of care
    Richard F Averill
    3M Health Information Systems, Wallingford, Connecticut 06492, USA
    J Ambul Care Manage 32:241-51. 2009
    ..Establishing equitable prospective episode payment amounts requires that the severity of illness of the patient during the hospitalization and the chronic disease burden of the patient be taken into account...
  8. doi Adjusting Medicaid managed care payments for changes in health status
    Richard L Fuller
    3M Health Information Systems, Inc, Silver Spring, MD 20904, USA
    Med Care Res Rev 70:68-83. 2013
    ..The MCO payment impact for diabetes and hypertension ranged from +0.19% to -0.31%. This difference can be used as the basis for creating payment incentives for MCOs to reduce the long-term costs of chronically ill enrollees...
  9. doi Inappropriate use of payment weights to risk adjust readmission rates
    Richard L Fuller
    3M Health Information Systems, Inc, Silver Spring, MD, USA
    Am J Med Qual 27:341-4. 2012
    ..In this article, the authors demonstrate that the use of relative weights, as incorporated within the National Quality Forum-endorsed PacifiCare readmission measure, is inappropriate for risk adjusting rates of hospital readmission...
  10. ncbi A new approach to reducing payments made to hospitals with high complication rates
    Richard L Fuller
    3M Health Information Systems, Silver Spring, MD 20904, USA
    Inquiry 48:68-83. 2011
    ..Medicare hospital payment could be reduced by approximately 8% (8.5 billion dollars) if hospitals were held to a "best practice" standard and if payments made for excess complications were eliminated...
  11. ncbi Identifying potentially preventable readmissions
    Norbert I Goldfield
    3M Health Information Systems, Wallingford, CT 06492, USA
    Health Care Financ Rev 30:75-91. 2008
    ..Analyses using PPRs show that readmission rates increase with increasing severity of illness and increasing time between admission and readmission, vary by the type of prior admission, and are stable within hospitals over time...
  12. doi Paying for quality and coordination: aligning provider payments with global goals
    Norbert I Goldfield
    3M Health Information Systems, Wallingford, Connecticut 06492, USA
    Am J Med Qual 24:480-8. 2009
    ..Payment systems can use a building block approach for each of the 4 types of health care encounter so as to encourage improved coordination of health care services...
  13. ncbi Identifying potentially preventable complications using a present on admission indicator
    John S Hughes
    Yale University School of Medicine, USA
    Health Care Financ Rev 27:63-82. 2006
    ....
  14. ncbi Estimating the costs of potentially preventable hospital acquired complications
    Richard L Fuller
    3M Health Information Systems, Silver Spring, Maryland 20904, USA
    Health Care Financ Rev 30:17-32. 2009
    ..39 percent in the California data and 9.63 percent in the Maryland data...