all-payer system

all-payer system

Managed care A proposed health care system in which all insurers would use the same fee schedule. See Health care reform.
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Economist Uwe Reinhart, writing in the November 2011 issue of Health Affairs, suggests that one solution might be to move to " a more rational, all-payer system.
The services of a consulting firm are required to prepare a series of white papers or authoritative reports that can provide guidance to Maryland policymakers and stakeholders on options for Medicaid financing and delivery system reforms that emphasize value and quality and can advance the states efforts to achieve the triple aim of better health, better care, and lower costs under the states all-payer system launched in 2014.
The new RTA platform that we piloted was designed to be an all-payer system that enables payers that meet certain technological requirements to participate by interfacing to the vendor's back-end service network and operations.
First, the purpose of New York's regulatory activity, and in particular the purpose of the all-payer system introduced in 1983, was not simply to contain costs but also to broaden access and support distressed hospitals.
7] This health care reform proposal establishes an all-payer system of fee schedules and expenditure targets-capitation payments or salary, coupled with tax (as opposed to employment) financing.
Maryland has had the best experience with an all-payer system that was established 20 years ago, at the request of the Maryland Hospital Association, and is still operating today.
An all-payer system would cover the uninsured in a public plan.
New Jersey uses an all-payer system that reimburses on a per admission basis, adjusted for the patient's diagnosis-related group.
However, more recently, the ability to negotiate with HMOs outside of the all-payer system has begun to minimize the impact of regulation.
The AAFP is supporting legislation aimed at improving graduate medical education funding and is working with the Council on Graduate Medical Education to develop an all-payer system for graduate medical programs, Dr.
Or, as 9,000 providers do, they can use it to link for far more, including submitting claims to an all-payer system run by BCBSMA, entering inpatient and outpatient authorization requests, getting claims status and eligibility information in real time, or even performing credit card transactions.
All-payer system is one in which all payers of health care bills pay at rates set by the government for the medical services.