Towards Value-Based Health Care in Medicare

Anthony Scott ()

Australian Economic Review, 2015, vol. 48, issue 3, 305-313

Abstract: type="main" xml:lang="en">

This article discusses a number of options for supporting value-based health care in Medicare using value-based payment models. These include: best practice Medicare rebates for specialists; strengthening what Medicare items are included and excluded from the Medicare Benefits Schedule; pay-for-performance for general practitioners tied to rebate supplements on the Medicare Benefits Schedule or through an expanded Practice Incentive Program; and best practice case-mix payments and pay-for-performance for hospitals. Caution, careful design and rigorous evaluation are necessary if value-based purchasing is to be used to strengthen Medicare.

Date: 2015
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