Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Non-Profit Hospital Governance, Conduct, and CEO Pay.

Inquiry : a journal of medical care organization, provision and financing·2025
Same author

Trauma Center Hospitals Charged Higher Prices For Some Nontrauma Care Than Non-Trauma Center Hospitals, 2012-18.

Health affairs (Project Hope)·2024
Same author

The relationship between provider age and opioid prescribing behavior.

The American journal of managed care·2022
Same author

Does Multispecialty Practice Enhance Physician Market Power?

American journal of health economics·2021
Same author

The effects of medicare advantage on opioid use.

Journal of health economics·2020
Same author

Competition in Outpatient Procedure Markets.

Medical care·2018

Related Experiment Video

Updated: May 30, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Vertical integration and optimal reimbursement policy.

Christopher C Afendulis1, Daniel P Kessler

  • 1Dapartment of Health Care Policy, Harvard Medical School, Boston, MA, USA.

International Journal of Health Care Finance and Economics
|August 19, 2011
PubMed
Summary

Vertical integration in healthcare can serve strategic aims, impacting Medicare reimbursement. Skilled nursing facility prospective payment decreased spending more in integrated areas without affecting patient health outcomes.

Related Experiment Videos

Last Updated: May 30, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

  • Health Economics
  • Healthcare Management
  • Public Policy

Background:

  • Healthcare providers engage in vertical integration for care coordination and strategic advantages.
  • The strategic motivations for integration may not always align with patient best interests.
  • Medicare reimbursement policies must account for the dual nature of healthcare provider integration.

Purpose of the Study:

  • To evaluate the impact of prospective payment for skilled nursing facilities (SNF PPS) on spending and patient outcomes.
  • To determine if the level of hospital/skilled nursing facility integration influences the effectiveness of SNF PPS.
  • To inform optimal Medicare reimbursement policies for integrated healthcare systems.

Main Methods:

  • Comparative analysis of SNF PPS adoption in geographic areas with high versus low hospital/SNF integration.
  • Examination of healthcare spending and patient health outcomes before and after SNF PPS implementation.
  • Statistical modeling to assess the differential impact of SNF PPS based on integration levels.

Main Results:

  • SNF PPS led to greater spending reductions in areas with high levels of hospital/SNF integration.
  • No significant adverse effects on patient health outcomes were observed in relation to SNF PPS.
  • The effectiveness of cost-containment measures varied based on the degree of provider integration.

Conclusions:

  • Integrated healthcare providers may benefit from higher-powered reimbursement incentives, such as reduced cost-sharing.
  • Purchasers of health services should consider the organizational structure of suppliers when designing reimbursement mechanisms.
  • Reimbursement strategies should be tailored to address agency problems arising from different supplier organizational forms.