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Medicare's central problem is that it institutionalizes the fee-for-service payment system, which rewards providers for the quantity of services provided, regardless of quality, outcome or cost.
As noted earlier, in the new healthcare paradigm, all providers will be paid not just for the quantity of services provided, but rather how effectively and efficiently those services are delivered [ 37, 38].
Lowering payments within Medicare, though, without also reducing the quantity of services provided throughout the health care system ultimately only makes it harder for those on Medicare to find a doctor or hospital willing to treat them, because so many providers stop seeing Medicare patients.
Routine data on the quantity of services provided & 12 interviews with NGO and health facility management staff.
A key goal of the Affordable Care Act is to lower healthcare costs by prioritizing the quality of care over the quantity of services provided to patients.
The Patient Protection and Affordable Care Act (PPACA) advances new reimbursement models which incent doctors on the quality and cost of a patient episode rather than the quantity of services provided.
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This directly links the quantity of service provided with the needs of beneficiaries and better identifies where needs are not being met.
Fifth, it provides useful information about the types and quantity of resources used and identifies possible sources of cost reduction, while maintaining the quality of services provided.
Table 5 presents the impacts of SRES initiative on four aspects: 1) changes in health expenditure, 2) changes in quantity of services provided; 3) quality of care, and 4) perceptions of community health workers.
Larger practice samples (as may be found in health administrative databases) would be required to tease out the complex relationships between practice organizational structures, including how physicians share finances, and quality and quantity of services provided.
Decisions and actions taken at this level therefore have a great influence over the quantity and quality of services provided to the catchment population.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com