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Medicare in the 21 st Century: Understanding the Program to Promote Improvements
David M Kalainov1, Cynthia Barnard, Jessica Walradt
1From the Department of Orthopedic Surgery, Northwestern University Feinberg School of Medicine, Medical Director of Orthopedic Surgery, Northwestern Memorial Hospital, Chicago, IL (Kalainov), Department of Medicine, Northwestern University Feinberg School of Medicine, Vice President, Quality, Northwestern Memorial HealthCare, Chicago, IL (Barnard), Director, Performance Based Reimbursement and Value-Based Care, Northwestern Medicine, Chicago, IL (Walradt).
Abstract:
Medicare is the largest single purchaser of health care in the United States and currently helps to pay medical expenses for approximately one-fifth of the US population. The impetus for Medicare to move away from fee-for-service and toward value-based care payments reflects the need to incentivize and improve healthcare quality while containing increasing costs. This primer provides a detailed overview of several interrelated topics for an improved understanding of the Medicare program for orthopaedic surgeons, other clinicians, healthcare administrators, policymakers, and business leaders. An improved understanding may stimulate additional ideas for successful program advancements.
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