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https://www.readbyqxmd.com/read/29211632/an-employer-health-incentive-plan-for-advance-care-planning-and-goal-aligned-care
#1
Matthew J Gonzales, Jeff Dobro, Katy Guilfoile, Keegan Fisher, Ira Byock
One strategy to promote workforce well-being has been health incentive plans, in which a company's insured employees are offered compensation for completing a particular health-related activity. In 2015, Providence Health & Services adopted an Advance Care Planning (ACP) activity as a 2015-2016 health incentive option. More than 51,000 employees and their insured relatives chose the ACP incentive option. More than 80% rated the experience as helpful or very helpful. A high proportion (95%) of employees responded that they had someone they trusted who could make medical care decisions for them, yet only 23% had completed an advance directive, and even fewer (11%) had shared the document with their health care provider...
December 6, 2017: Population Health Management
https://www.readbyqxmd.com/read/29133491/exploring-attributes-of-high-value-primary-care
#2
Melora Simon, Niteesh K Choudhry, Jim Frankfort, David Margolius, Julia Murphy, Luis Paita, Thomas Wang, Arnold Milstein
PURPOSE: Medicare's merit-based incentive payment system and narrowing of physician networks by health insurers will stoke clinicians' and policy makers' interest in care delivery attributes associated with value as defined by payers. METHODS: To help define these attributes, we analyzed 2009 to 2011 commercial health insurance claims data for more than 40 million preferred provider organization patients attributed to over 53,000 primary care practice sites. We identified sites ranking favorably on both quality and low total annual per capita health care spending ("high-value") and sites ranking near the median ("average-value")...
November 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/29097851/the-impact-of-taxes-on-competition-for-ceos
#3
Peter Krenn
This paper contributes to the question of how taxation of corporate profits and wages affects competition among firms for highly skilled human resources such as CEOs. Use of a theoretical model shows that wage taxes can have a substantial impact on the outcome of such a competition if marginal tax rates are different as in an international labor market. Further, the paper shows that increasing the wage tax rate unilaterally can have an ambiguous effect on observed gross compensation levels. However, in a local labor market for CEOs, observed gross fixed salaries should decline in the wage tax rate...
July 3, 2017: European Accounting Review
https://www.readbyqxmd.com/read/29079405/a-randomized-trial-of-incentives-for-smoking-treatment-in-medicaid-members
#4
David L Fraser, Michael C Fiore, Kate Kobinsky, Robert Adsit, Stevens S Smith, Mimi L Johnson, Timothy B Baker
INTRODUCTION: Low-income populations are especially likely to smoke and have difficulty quitting. This study evaluated a monetary incentive intended to increase smoking treatment engagement and abstinence among Medicaid recipients who smoke. STUDY DESIGN: Two-group randomized clinical trial of Incentive (n=948) and Control interventions (n=952) for smoking. SETTING/PARTICIPANTS: Medicaid recipients recruited from primary care patients (n=920) and callers to the Wisconsin Tobacco Quit Line (n=980)...
October 24, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29075552/patient-copayments-provider-incentives-and-income-effects-theory-and-evidence-from-the-essential-medications-list-under-china-s-2009-healthcare-reform
#5
Brian K Chen, Y Tony Yang, Karen Eggleston
Expanding access through insurance expansion can increase healthcare utilization through moral hazard. Reforming provider incentives to introduce more supply-side cost sharing is increasingly viewed as crucial for affordable, sustainable access. Using both difference-in-differences and segmented regression analyses on a panel of 1,466 hypertensive and diabetic patients, we empirically examine Shandong province's initial implementation of China's 2009 Essential Medications List policy. The policy reduced drug sale markups to providers but also increased drug coverage benefits for patients...
March 2017: World Medical & Health Policy
https://www.readbyqxmd.com/read/29036727/economic-labor-and-regulatory-moderators-of-the-effect-of-individual-placement-and-support-among-people-with-severe-mental-illness-a-systematic-review-and-meta-analysis
#6
Justin D Metcalfe, Robert E Drake, Gary R Bond
As Individual Placement and Support (IPS) has become the international standard for vocational rehabilitation of adults with serious mental illness, researchers must consider the relationship between IPS and local environments. This meta-analysis used mixed-effects meta-regressions to assess the impact of site-level moderators on the likelihood that IPS recipients, compared with recipients of alternative vocational services, achieved competitive employment. Potential moderators included change in gross domestic product (GDP), local unemployment and unionization rates, and indices describing employment protection regulations, level of disability benefits compensation, and efforts to integrate people with disabilities into the workforce...
September 28, 2017: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/28942090/improving-risk-equalization-for-individuals-with-persistently-high-costs-experiences-from-the-netherlands
#7
Frank Eijkenaar, René C J A van Vliet
BACKGROUND: Risk-equalization (RE) models in competitive health insurance markets have become increasingly sophisticated. However, these models still have important imperfections. A specific problem in the Netherlands is that insurers are insufficiently compensated for individuals who can persistently be found in the right-end tail of the cost distribution. OBJECTIVES: The goal of this study is to explore and evaluate options for improving compensation for persistently high-cost individuals in the Dutch basic health insurance...
November 2017: Health Policy
https://www.readbyqxmd.com/read/28895013/non-donors-attitudes-towards-sperm-donation-and-their-willingness-to-donate
#8
Veerle Provoost, Florence Van Rompuy, Guido Pennings
PURPOSE: The aim of this article is to study attitudes about sperm donation and willingness to donate sperm in students who have never shown an interest in sperm donation. METHODS: The method used in this study is an electronic survey of 1012 male students. RESULTS: Only one third of the respondents (34.3%) would consider donating sperm. Overall, 85.7% indicated a positive attitude towards sperm donation while 14.3% indicated a neutral or negative attitude...
September 11, 2017: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/28892722/behavior-of-farmers-in-regard-to-erosion-by-water-as-reflected-by-their-farming-practices
#9
Karl Auerswald, Franziska K Fischer, Michael Kistler, Melanie Treisch, Harald Maier, Robert Brandhuber
The interplay between natural site conditions and farming raises erosion by water above geological background levels. We examined the hypothesis that farmers take erosion into account in their farming decisions and switch to farming practices with lower erosion risk the higher the site-specific hazard becomes. Erosion since the last tillage was observed from aerial orthorectified photographs for 8100 fields belonging to 1879 farmers distributed across Bavaria (South Germany) and it was modeled by the Universal Soil Loss Equation using highly detailed input data (e...
February 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/28866123/a-systematic-review-finds-underreporting-of-ethics-approval-informed-consent-and-incentives-in-clinical-trials
#10
Ly Quoc Trung, Mostafa Ebraheem Morra, Nguyen Duc Truong, Tarek Turk, Ahmed Elshafie, Amr Foly, Dao Ngoc Hien Tam, Ahmed Iraqi, Trinh Thi Hong Van, Ahmed Elgebaly, Tran Nhu Ngoc, Tran Le Huy Vu, Ngan Thy Chu, Kenji Hirayama, Juntra Karbwang, Nguyen Tien Huy
OBJECTIVES: In this study, we aim to review researchers' reporting practices of the ethics statement, financial incentives, and local ethical committees' profile in their clinical trials. STUDY DESIGN AND SETTING: A systematic search was done through top-ranked 50 medical journals (Scimago Ranking) to retrieve 2,000 latest publications. Only primary clinical trials were included with no restriction to language or participants. RESULTS: Among the 927 included trials, 14 trials (1...
September 1, 2017: Journal of Clinical Epidemiology
https://www.readbyqxmd.com/read/28863338/perceptions-of-incentives-offered-in-a-community-based-malaria-diagnosis-and-treatment-program-in-the-highlands-of-papua-new-guinea
#11
Camilla Burkot, Laura Naidi, Liesel Seehofer, Kevin Miles
What motivates community-based health workers to provide care in rural and remote areas, often on a voluntary or casual basis, is a key question for program managers and public health officials. This paper examines how a range of incentives offered as part of the Marasin Stoa Kipa program, a community-based malaria diagnosis and treatment program that has been implemented since 2007 within a major oil and gas development area in Papua New Guinea, are perceived and critiqued by community-based health workers...
August 23, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28845356/implementing-a-drug-formulary-for-california-s-workers-compensation-program
#12
Barbara O Wynn, Christine Buttorff, Erika Meza, Erin Audrey Taylor, Andrew W Mulcahy
California Assembly Bill 1124 required the state's Division of Workers' Compensation in the Department of Industrial Relations to establish a drug formulary for all injured workers covered by the state's workers' compensation program. Such formularies serve to reinforce safe and effective prescribing patterns for practitioners and payers. In California, the formulary will need to be consistent with the Medical Treatment Utilization Schedule guidelines that define medically appropriate care for California's injured workers, create incentives to encourage prescribing of medically appropriate drugs, and reduce the administrative burdens associated with utilization review and medical necessity disputes...
June 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28833288/insurance-public-assistance-and-household-flood-risk-reduction-a-comparative-study-of-austria-england-and-romania
#13
Susanne Hanger, Joanne Linnerooth-Bayer, Swenja Surminski, Cristina Nenciu-Posner, Anna Lorant, Radu Ionescu, Anthony Patt
In light of increasing losses from floods, many researchers and policymakers are looking for ways to encourage flood risk reduction among communities, business, and households. In this study, we investigate risk-reduction behavior at the household level in three European Union Member States with fundamentally different insurance and compensation schemes. We try to understand if and how insurance and public assistance influence private risk-reduction behavior. Data were collected using a telephone survey (n = 1,849) of household decisionmakers in flood-prone areas...
August 17, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/28829822/how-do-research-faculty-in-the-biosciences-evaluate-paper-authorship-criteria
#14
Timothy Kassis
Authorship of peer-reviewed journal articles and abstracts has become the primary currency and reward unit in academia. Such a reward is crucial for students and postdocs who are often under-compensated and thus highly value authorship as an incentive. While numerous scientific and publishing organizations have written guidelines for determining author qualifications and author order, there remains much ambiguity when it comes to how these criteria are weighed by research faculty. Here, we sought to provide some initial insight on how faculty view the relative importance of 11 criteria for scientific authorship...
2017: PloS One
https://www.readbyqxmd.com/read/28816634/disability-benefits-as-an-incentive-for-hysterectomy-uterine-fibroid-patients-in-taiwan
#15
Ya-Lee Ho, Chu-Shiu Li, Chwen-Chi Liu, Che-Chen Lin, Chih-Jen Hung, Chia-Hung Kao
OBJECTIVE: Worker compensation insurance in Taiwan ensures that a woman under the age of 45 years who has her uterus removed can receive disability compensation benefits. The present study investigated whether such a compensation policy was related to a woman's inclination to have a hysterectomy. METHODS: We extracted the records of 16,030 women diagnosed with uterine fibroids (UF) between 2000 and 2010 from the Longitudinal Taiwan Health Insurance Database. RESULTS: Each younger and older age group had a significantly lower hysterectomy rate compared to that of the 44-year-old age group...
August 17, 2017: Women & Health
https://www.readbyqxmd.com/read/28799159/-the-japanese-health-care-system-an-analysis-of-the-funding-and-reimbursement-system
#16
Alexis Rump, Oliver Schöffski
Objective The modern Japanese health care system was established during the Meiji period (1868-1912) using the example of Germany. In this paper, the funding and remuneration of health services and products in Japan are described. The focus lies on the mechanisms used to implement health policy goals and to control costs. Method Selective literature search. Results All permanent residents in Japan are enrolled in one of more than 3,000 compulsory health funds. Employees and public servants are covered through company or government-related health insurance schemes...
August 10, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28746136/using-organizational-philosophy-to-create-a-self-sustaining-compensation-plan-without-harming-academic-missions
#17
Robert Leverence, Richard Nuttall, Rachel Palmer, Mark Segal, Alicia Wood, Fay Yancey, Jonathon Shuster, Mark Brantly, Robert Hromas
PROBLEM: Academic physician reimbursement has moved to productivity-based compensation plans. To be sustainable, such plans must be self-funding. Additionally, unless research and education are appropriately valued, faculty involved in these efforts will become disillusioned, yet revenue generation in these activities is less robust than for clinical care activities. APPROACH: Faculty at the Department of Medicine, University of Florida Health, elected a committee of junior and senior faculty and division chiefs to restructure the compensation plan in fiscal year (FY) 2011...
August 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28666444/development-of-village-doctors-in-china-financial-compensation-and-health-system-support
#18
REVIEW
Dan Hu, Weiming Zhu, Yaqun Fu, Minmin Zhang, Yang Zhao, Kara Hanson, Melisa Martinez-Alvarez, Xiaoyun Liu
BACKGROUND: Since 1968, China has trained about 1.5 million barefoot doctors in a few years' time to provide basic health services to 0.8 billion rural population. China's Ministry of Health stopped using the term of barefoot doctor in 1985, and changed policy to develop village doctors. Since then, village doctors have kept on playing an irreplaceable role in China's rural health, even though the number of village doctors has fluctuated over the years and they face serious challenges...
July 1, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28661798/getting-the-incentives-right-improving-oral-health-equity-with-universal-school-based-caries-prevention
#19
Richard Niederman, Shulamite S Huang, Anna-Lena Trescher, Stefan Listl
Despite significant financial, training, and program investments, US children's caries experience and inequities continued to increase over the last 20 years. We posit that (1) dental insurance payment systems are not aligned with the current best evidence, exacerbating inequities, and (2) system redesign could meet health care's triple aim and reduce children's caries by 80%. On the basis of 2013 to 2016 Medicaid and private payment rates and the caries prevention literature, we find that effective preventive interventions are either (1) consistently compensated less than ineffective interventions or (2) not compensated at all...
May 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28627924/clusters-of-financially-incentivized-chronic-pain-patients-using-the-minnesota-multiphasic-personality-inventory-2-restructured-form-mmpi-2-rf
#20
Luis E Aguerrevere, Matthew R Calamia, Kevin W Greve, Kevin J Bianchini, Kelly L Curtis, Veronica Ramirez
The Minnesota Multiphasic Personality Inventory (MMPI)-2 Restructured Form (MMPI-2-RF) has been shown to have clinical utility in the assessment of individuals with chronic pain (e.g., predicting surgical outcomes). The purpose of this study was to explore the ability of the MMPI-2-RF Validity Scales in profiling patients with chronic pain who had external financial incentive (e.g., workers' compensation claims) and determine the associations between Validity Scale response patterns and important outcomes. Cluster analysis identified 2 similarly sized clusters of patients with very different MMPI-2-RF profiles...
June 19, 2017: Psychological Assessment
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