Evidence map›Paper›PMID 27851858›Full record

ReviewJAMA cardiology2017

Existing and Emerging Payment and Delivery Reforms in Cardiology.

Steven A Farmer, Margaret L Darling, Meaghan George, Paul N Casale, Eileen Hagan, Mark B McClellan

Erratum issuedAbstract readReview
In one paragraph

Review in JAMA cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Steven A FarmerGeorge Washington University School of Medicine & Health Sciences, Washington, DC.
Margaret L DarlingCenter for Health Policy, Economic Studies Program, The Brookings Institution, Washington, DC.
Meaghan GeorgeDuke-Robert J. Margolis Center for Health Policy, Duke University, Durham, North Carolina.
Paul N CasaleAmerican College of Cardiology, Washington, DC.
Eileen HaganAmerican College of Cardiology, Washington, DC.
Mark B McClellanDuke-Robert J. Margolis Center for Health Policy, Duke University, Durham, North Carolina.

Funding

Joint Effect of Malpractice Risk and Financial Incentives on Cardiac TestingR01HL113550 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BLACK, BERNARD S, MOGHTADERI, ALI · 2013 to 2017
$2.9M
NHLBI NIH HHS R01 HL113550
6 · The paper itself

Abstract

Importance: Recent health care reforms aim to increase patient access, reduce costs, and improve health care quality as payers turn to payment reform for greater value. Cardiologists need to understand emerging payment models to succeed in the evolving payment landscape. We review existing payment and delivery reforms that affect cardiologists, present 4 emerging examples, and consider their implications for clinical practice. Observations: Public and commercial payers have recently implemented payment reforms and new models are evolving. Most cardiology models are modified fee-for-service or address procedural or episodic care, but population models are also emerging. Although there is widespread agreement that payment reform is needed, existing programs have significant limitations and the adoption of new programs has been slow. New payment reforms address some of these problems, but many details remain undefined. Conclusions and Relevance: Early payment reforms were voluntary and cardiologists' participation is variable. However, conventional fee-for-service will become less viable, and enrollment in new payment models will be unavoidable. Early participation in new payment models will allow clinicians to develop expertise in new care pathways during a period of relatively lower risk.

Indexed as

Health Care ReformQuality of Health CareCardiologyFee-for-Service PlansHumans

Identifiers

PMID27851858
PMCPMC5559293

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.