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1

Joyner, Bob. Quality data management (QDM) at Equifax. Information Management Forum, 1998.

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2

Paskavitz, Michael. Managing performance for public disclosure and reimbursement: Best practices from the US and UK. HCPro, Inc., 2004.

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3

Cheh, Valerie. Implementing payment reform in the midst of the storm. Mathematica Policy Research, Inc., 2001.

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4

Chen, Arnold. The impact of prospective payment on Medicare home health quality of care: Preliminary report. Mathematica Policy Research, 1998.

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5

Graig, Laurene, Elaine Soohoo, and Joe Alper, eds. Financing and Payment Strategies to Support High-Quality Care for People with Serious Illness. National Academies Press, 2018. http://dx.doi.org/10.17226/25071.

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6

Massachusetts. Dept. of Public Health. The Impact of the Prospective Payment System on access and quality of care for Medicare beneficiaries: Interim report. Commonwealth of Massachusetts, Dept. of Public Health, 1987.

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7

Chassin, Mark R. Testimony and statement submitted to the Senate Finance Committee: Quality of care and medicare's prospective payment system. The Rand Corporation, 1986.

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8

Bogen, Jonathan D. The impact of the Prospective Payment System on access and quality of care for Medicare beneficiaries: Interim report. Commonwealth of Massachusetts, Dept. of Public Health, 1987.

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9

L, Nelson Harold. Analysis of quality control payment errors in the Aid to Families with Dependent Children and food stamp programs. Office of Research and Data Analysis, Division of Administration and Personnel, Dept. of Social And Health Services, 1985.

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10

L, Nelson Harold. Analysis of quality control payment errors in the Aid to Families with Dependent Children and food stamp programs. Office of Research and Data Analysis, Division of Administration and Personnel, Dept. of Social And Health Services, 1985.

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11

Carson, Carol S. Assessing accuracy and reliability: A note based on approaches used in national accounts and balance of payment statistics. International Monetary Fund, Statistics Department, 2002.

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12

United States. Congress. Senate. Committee on Finance. Examination of quality of care under Medicare's prospective payment system: Hearing before the Committee on Finance, United States Senate, Ninety-ninth Congress, second session, June 3, 1986. U.S. G.P.O., 1986.

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13

United States. Congress. House. A bill to improve the quality of, and access to, long-term care. U.S. G.P.O., 2007.

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14

New Jersey. Legislature. General Assembly. Health and Human Resources Committee. Public hearing before Assembly Health and Human Resources Committee examining the effects of the diagnosis related group (DRG) reimbursement system on hospital costs and quality of care: July 14, 1986, Room 341, State House Annex, Trenton, New Jersey. Office of Legislative Services, Public Information Office, 1986.

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15

United States. Congress. House. Select Committee on Aging. Subcommittee on Housing and Consumer Interests. Medicare payments and quality health care for rural older Americans: Hearing before the Subcommittee on Housing and Consumer Interests of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, June 9, 1986, Cumberland, MD. U.S. G.P.O., 1986.

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16

United States. Congress. House. Select Committee on Aging. Sustaining quality health care under cost containment: Joint hearing : joint hearing before the Select Committee on Aging and the Task Force on the Rural Elderly of the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, first session, February 26, 1985. U.S. G.P.O., 1985.

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17

United States. Congress. Senate. A bill to amend title XVIII of the Social Security Act to ensure and foster continued patient quality of care by establishing facility and patient criteria for long-term care hospitals and related improvements under the Medicare program. U.S. G.P.O., 2007.

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18

Aging, United States Congress Senate Special Committee on. Quality of care under Medicare's prospective payment system: Hearings before the Special Committee on Aging, United States Senate, Ninety-ninth Congress, first session, Washington, DC. U.S. G.P.O., 1986.

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19

United States. Congress. Senate. Special Committee on Aging. Quality of care under Medicare's prospective payment system: Hearings before the Special Committee on Aging, United States Senate,Ninety-ninth Congress, first session, Washington, DC. U.S. G.P.O., 1986.

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20

Keeler, Emmett B. Assessing quality of care for hospitalized medicare patients with hip fracture using coded diagnoses from the medicare provider analysis and review files. Rand, 1992.

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21

United States. Congress. House. Select Committee on Aging. Out "sooner and sicker": Myth or Medicare crisis? : hearing before the Select Committee on Aging, House of Representatives, Ninety-ninth Congress, second session, April 10, 1986. U.S. G.P.O., 1986.

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22

United States. Congress. House. Committee on Government Operations. Quicker and sicker: Substandard treatment of Medicare patients : seventh report. U.S. G.P.O., 1989.

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23

United States. Congress. House. Committee on Ways and Means. Subcommittee on Health. Medicare Quality Protection Act of 1986: Hearing before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, Ninety-ninth Congress, second session, on H.R. 4638 ... April 23, 1986. U.S. G.P.O., 1986.

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24

United States. Congress. Senate. A bill to require the Prospective Payment Assessment Commission to develop separate applicable percentage increases to ensure that Medicare beneficiaries who receive services from Medicare dependent hospitals receive the same quality of care and access to services as Medicare beneficiaries in other hospitals, and for other purposes. [United States Government Printing Office], 1995.

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25

Health, United States Congress House Committee on Energy and Commerce Subcommittee on. Reforming SGR: Prioritizing quality in a modernized physician payment system : hearing before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Thirteenth Congress, first session, June 5, 2013. U.S. Government Printing Office, 2013.

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26

Medicare physician payment: How to build a payment system that provides quality, efficient care for Medicare beneficiaries : hearings before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Ninth Congress, second session, July 25 and July 27, 2006. U.S. G.P.O., 2006.

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27

United States. Congress. House. Committee on Ways and Means. Subcommittee on Health. Physician organization efforts to promote high quality care and implications for Medicare physician payment reform: Hearing before the Subcommittee on Health of the Committee on Ways and Means, U.S. House of Representatives, One Hundred Twelfth Congress, second session, July 24, 2012. U.S. Government Printing Office, 2013.

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28

United States. Congress. Senate. Special Committee on Aging. The effects of PPS on quality of care for medicare patients: Hearing before the Special Committee on Aging, United States Senate, Ninety-ninth Congress, second session, Los Angeles, CA, January 7, 1986. U.S. G.P.O., 1986.

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29

United States. Congress. Senate. Special Committee on Aging. The effects of PPS on quality of care for medicare patients: Hearing before the Special Committee on Aging, United States Senate, Ninety-ninth Congress, second session, Los Angeles, CA, January 7, 1986. U.S. G.P.O., 1986.

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30

United States. Congress. Senate. Special Committee on Aging. The effects of PPS on quality of care for medicare patients: Hearing before the Special Committee on Aging, United States Senate, Ninety-ninth Congress, second session, Los Angeles, CA, January 7, 1986. U.S. G.P.O., 1986.

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31

Colorado. Office of State Auditor. Nursing facility quality of care: Department of Public Health and Environment, Department of Heath Care Policy and Financing : performance audit, February 2007. Office of State Auditor, 2007.

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32

Office, General Accounting. Food stamp program: Statistical validity of Agriculture's payment error-rate estimates : report to the Administrator, Food and Nutrition Service, Department of Agriculture. The Office, 1986.

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33

Office, General Accounting. Medicare: Federal efforts to enhance patient quality of care. The Office, 1996.

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34

1943-, Albring Manfred, and Wille Eberhard 1942-, eds. Qualitätsorientierte Vergütungssysteme in der ambulanten und stationären Behandlung. Peter Lang, 2001.

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35

New York (State). Dept. of Audit and Control. Department of Social Services, recovery of state payments. The Division, 1994.

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36

Office, General Accounting. Medicare: Need to strengthen home health care payment controls and address unmet needs : report to the chairman, Special Committee on Aging, United States Senate. GAO, 1986.

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37

Office, General Accounting. Medicare: Increased HMO oversight could improve quality and access to care : report to the Special Committee on Aging, U.S. Senate. The Office, 1995.

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38

Office, General Accounting. Medicare: Assuring the quality of home health services : report to the ranking minority member, Special Committee on Aging, U.S. Senate. The Office, 1989.

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39

Office, General Accounting. Medicare: Indirect medical education payments are too high. The Office, 1989.

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40

Office, General Accounting. Medicare: Indirect medical education payments are too high. The Office, 1989.

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41

Office, General Accounting. Medicare: Improving quality of care assessment and assurance : report to the chairman, Subcommittee on Health, Committee on Ways and Means, House of Representatives. The Office, 1988.

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42

Tran, Thi Thu Ha. Towards a transparent and quality healthcare system: A qualitative study on the cause, perceptions and impact of informal payments in health services in Vietnam. Transparency International, 2011.

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43

Foreign investment survey, 2010 report: Capturing foreign capital flows and stocks data to improve the quality of balance of payments statistics and international investment position. Kenya National Bureau of Statistics, 2011.

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44

Kenya National Bureau of Statistics. Foreign investment survey, 2010 report: Capturing foreign capital flows and stocks data to improve the quality of balance of payments statistics and international investment position. Kenya National Bureau of Statistics, 2011.

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45

Office, General Accounting. Medicare: HCFA can improve methods for revising physician practice expense payments : report to Congressional committees. The Office, 1998.

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46

Medicare payments to physicians: Hearing before the Subcommittee on Health of the Committee on Ways and Means, U.S. House of Representatives, One Hundred Ninth Congress, first session, February 10, 2005. U.S. G.P.O., 2006.

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47

Lagasse, Robert S. Regulating Quality. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199366149.003.0013.

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Governmental regulation has attempted to lower healthcare costs and improve quality. In the 1980s, diagnostically related groups (DRGs) shifted Medicare hospital payments from a cost-based system to a condition-based system. More recently, the Affordable Care Act (ACA) funded value-based purchasing initiatives through reductions in DRG payments. The ACA also established Accountable Care Organizations that must be willing to be accountable for the quality, cost, and overall care of Medicare beneficiaries in a “medical home” model. On the physician side, a Merit-Based Incentive Payment System is
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48

Macra Physician Quality Payment Program Guide 2019. Optum 360, 2019.

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49

Federation, International Dairy, ed. Payment for milk on the basis of quality. International Dairy Federation, 1985.

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50

Glazer, Jacob, and Thomas G. McGuire. Models of Health Plan Payment and Quality Reporting. WORLD SCIENTIFIC, 2016. http://dx.doi.org/10.1142/10336.

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