Show Summary Details
Page of

Regulating Quality 

Regulating Quality
Chapter:
Regulating Quality
Author(s):

Robert S. Lagasse

DOI:
10.1093/med/9780199366149.003.0013
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 27 February 2020

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 replacing the Sustainable Growth Rate formula. The effect of regulation may be uncertain, but further change seems inevitable.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.