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

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

5.9K
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...
5.9K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

657
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
657
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.7K
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...
3.7K
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

1.0K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.0K
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

3.3K
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...
3.3K
Models of Health Promotion and Illness Prevention I01:25

Models of Health Promotion and Illness Prevention I

2.3K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.3K

You might also read

Related Articles

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

Sort by
Same author

Hospital-Skilled Nursing Facility Integration and Participation in a Bundled Payment Initiative.

JAMA network open·2024
Same author

Value-based Healthcare: The Value of Multiskilled Clinicians in Delivering Whole-person Musculoskeletal Care.

Clinical orthopaedics and related research·2024
Same author

Preoperative Optimization for Orthopaedic Surgery: Steps to Reduce Complications.

The Journal of the American Academy of Orthopaedic Surgeons·2023
Same author

Journal of the American Academy of Orthopaedic Surgeons Patient-Reported Outcome Measurements (PROMs) Special Issue: The Value of PROMs in Orthopaedic Surgery.

The Journal of the American Academy of Orthopaedic Surgeons·2023
Same author

A Model for Evaluating Total Costs of Care and Cost Savings of Specialty Condition-Based Care for Hip and Knee Osteoarthritis in an Integrated Practice Unit.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research·2023
Same author

Patient and Surgeon Ratings of Patient Involvement in Decision-Making Are Not Aligned.

The Journal of bone and joint surgery. American volume·2022
Same journal

Prescription drug prior authorization: costs to pharmacies and physicians.

The American journal of managed care·2026
Same journal

Combined pharmacotherapy and psychotherapy impact on opioid use disorder treatment.

The American journal of managed care·2026
Same journal

The societal costs of food insecurity: implications for managed care strategies.

The American journal of managed care·2026
Same journal

Availability of hospital financial assistance documents in non-English languages.

The American journal of managed care·2026
Same journal

Real-world weight loss with injectable semaglutide vs dulaglutide for diabetes.

The American journal of managed care·2026
Same journal

Social needs screening and supplemental benefits in Medicare Advantage.

The American journal of managed care·2026
See all related articles

Related Experiment Video

Updated: Oct 19, 2025

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.2K

Medicare APMs at a crossroads.

François de Brantes1, Valinda Rutledge, Kevin Bozic

  • 1SignifyHealth LLC, 800 Connecticut Ave, Norwalk, CT 06854.

The American Journal of Managed Care
|September 17, 2021
PubMed
Summary
This summary is machine-generated.

Encouraging providers to adopt advanced alternative payment models (APMs) is crucial for healthcare payment reform. Medicare policy must evolve to support and incentivize high-performing providers within these innovative payment structures.

More Related Videos

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

593
Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis
08:01

Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis

Published on: November 17, 2017

7.5K

Related Experiment Videos

Last Updated: Oct 19, 2025

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.2K
Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
06:16

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

593
Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis
08:01

Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis

Published on: November 17, 2017

7.5K

Area of Science:

  • Health economics
  • Healthcare policy
  • Medical innovation

Background:

  • The Health Care Payment and Learning Action Network (HCPLAN) aims to advance healthcare payment reform.
  • Current alternative payment models (APMs) vary in adoption and proven effectiveness.
  • Provider engagement in APMs is essential for achieving healthcare goals.

Purpose of the Study:

  • To emphasize the critical need for provider adoption of advanced alternative payment models (APMs).
  • To advocate for policy changes in Medicare to support and evaluate APMs.
  • To highlight the importance of engaging both high and low-performing providers in APMs.

Main Methods:

  • Policy analysis of current Medicare payment structures.
  • Review of existing alternative payment models (APMs) and their performance.
  • Assessment of strategies for provider engagement and innovation within APMs.

Main Results:

  • Many APMs remain voluntary due to early stages or unproven effectiveness.
  • Proven APMs should be integrated as permanent payment methods in Medicare.
  • Engaging high-performing providers in APMs is as vital as improving performance of lower-performing providers.

Conclusions:

  • A shift in Medicare's policy regarding the pricing and evaluation of APMs is necessary.
  • Sustained focus on APM adoption and provider engagement is key to healthcare payment reform.
  • Policy adjustments are required to incentivize innovation and benchmark setting within APMs.