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Items: 1 to 50 of 129

1.

A Middle-Ground Proposal for Making Health Care Premiums More Affordable.

Averill RF, Hughes JS.

J Ambul Care Manage. 2019 Jul/Sep;42(3):188-194. doi: 10.1097/JAC.0000000000000288.

PMID:
31107801
2.

Will Hospital Peer Grouping by Patient Socioeconomic Status Fix the Medicare Hospital Readmission Reduction Program or Create New Problems?

Fuller RL, Hughes JS, Goldfield NI, Averill RF.

Jt Comm J Qual Patient Saf. 2018 Apr;44(4):177-185. doi: 10.1016/j.jcjq.2017.10.002. Epub 2018 Mar 2.

3.

Quality Improvement Initiatives Need Rigorous Evaluation: The Case of Pressure Ulcers.

Averill RF, Hughes JS, Fuller RL, Goldfield NI.

Am J Med Qual. 2017 Sep/Oct;32(5):552-555. doi: 10.1177/1062860616666672. Epub 2016 Aug 30.

4.

Is the CMS Hospital-Acquired Condition Reduction Program a Valid Measure of Hospital Performance?

Fuller RL, Goldfield NI, Averill RF, Hughes JS.

Am J Med Qual. 2017 May/Jun;32(3):254-260. doi: 10.1177/1062860616640883. Epub 2016 Apr 1.

PMID:
27037265
5.

Response to Commentaries on "Comparison of the Properties of Regression and Categorical Risk-Adjustment Models".

Fuller RL, Averill RF, Muldoon JH, Hughes JS.

J Ambul Care Manage. 2016 Apr-Jun;39(2):175-7. doi: 10.1097/JAC.0000000000000147. No abstract available.

PMID:
26945305
6.

Comparison of the Properties of Regression and Categorical Risk-Adjustment Models.

Fuller RL, Averill RF, Muldoon JH, Hughes JS.

J Ambul Care Manage. 2016 Apr-Jun;39(2):157-65. doi: 10.1097/JAC.0000000000000135.

7.

Response to Commentaries on "Rethinking Medicare Payment Adjustments for Quality".

Averill RF, Fuller RL, McCullough EC, Hughes JS.

J Ambul Care Manage. 2016 Apr-Jun;39(2):139-42. doi: 10.1097/JAC.0000000000000149. No abstract available.

PMID:
26945297
8.

Rethinking Medicare Payment Adjustments for Quality.

Averill RF, Fuller RL, McCullough EC, Hughes JS.

J Ambul Care Manage. 2016 Apr-Jun;39(2):98-107. doi: 10.1097/JAC.0000000000000137.

9.

Misinterpretation of meaning and intended use of potentially preventable readmissions.

Goldfield N, Averill R, Fuller R, Hughes J.

BMJ Qual Saf. 2016 Mar;25(3):207-8. doi: 10.1136/bmjqs-2015-005009. Epub 2015 Nov 27. No abstract available.

PMID:
26614771
10.

Distributing shared savings for population health management.

Averill RF, Goldfield N, Hughes JS.

Healthc Financ Manage. 2014 Apr;68(4):46-9.

PMID:
24757873
11.

Medicare payment penalties for unrelated readmissions require second look.

Averill RF, Goldfield N, Hughes JS.

Healthc Financ Manage. 2013 Oct;67(10):96-8. No abstract available.

PMID:
24244999
12.

Postadmission sepsis as a screen for quality problems: a case-control study.

Hughes JS, Eisenhandler J, Goldfield N, Weinberg PG, Averill R.

Am J Med Qual. 2014 Nov-Dec;29(6):499-507. doi: 10.1177/1062860613509002. Epub 2013 Nov 13.

PMID:
24226649
13.

Payment system reform: one state's journey.

Millwee B, Goldfield N, Averill R, Hughes J.

J Ambul Care Manage. 2013 Jul-Sep;36(3):199-208. doi: 10.1097/JAC.0b013e318295fb8f.

PMID:
23748267
14.

Bundling post-acute care services into MS-DRG payments.

Vertrees JC, Averill RF, Eisenhandler J, Quain A, Switalski J.

Medicare Medicaid Res Rev. 2013 Aug 2;3(3). pii: mmrr.003.03.a03. doi: 10.5600/mmrr.003.03.a03. eCollection 2013.

15.

Adjusting Medicaid managed care payments for changes in health status.

Fuller RL, Goldfield NI, Averill RF, Eisenhandler J, Vertrees JC.

Med Care Res Rev. 2013 Feb;70(1):68-83. doi: 10.1177/1077558712458540. Epub 2012 Sep 6.

PMID:
22955696
16.
17.

Don't delay implementation of ICD-10.

Averill RF, Bowman SE.

Health Aff (Millwood). 2012 Jul;31(7):1650. doi: 10.1377/hlthaff.2012.0629. No abstract available.

PMID:
22778363
18.

Impact of the transition to ICD-10 on Medicare inpatient hospital payments.

Mills RE, Butler RR, McCullough EC, Bao MZ, Averill RF.

Medicare Medicaid Res Rev. 2011 Jun 6;1(2). doi: 10.5600/mmrr.001.02.a02.

19.

Inappropriate use of payment weights to risk adjust readmission rates.

Fuller RL, Goldfield NI, Averill RF, Hughes JS.

Am J Med Qual. 2012 Jul-Aug;27(4):341-4. doi: 10.1177/1062860611428091. Epub 2012 Feb 9.

PMID:
22326980
20.

READING the fine print on ICD-10 conversions. Even highly automated conversions require review.

Butler R, Mills R, Averill R.

J AHIMA. 2011 Jun;82(6):28-31; quiz 32. No abstract available.

PMID:
21751676
21.

A new approach to reducing payments made to hospitals with high complication rates.

Fuller RL, McCullough EC, Averill RF.

Inquiry. 2011 Spring;48(1):68-83.

PMID:
21634263
22.

Paying for outcomes, not performance: lessons from the Medicare Inpatient Prospective Payment System.

Averill RF, Hughes JS, Goldfield NI.

Jt Comm J Qual Patient Saf. 2011 Apr;37(4):184-92, 145.

PMID:
21500719
23.

Achieving cost control, care coordination, and quality improvement through incremental payment system reform.

Averill RF, Goldfield NI, Vertrees JC, McCullough EC, Fuller RL, Eisenhandler J.

J Ambul Care Manage. 2010 Jan-Mar;33(1):2-23. doi: 10.1097/JAC.0b013e3181c9f437.

PMID:
20026992
24.

Estimating the costs of potentially preventable hospital acquired complications.

Fuller RL, McCullough EC, Bao MZ, Averill RF.

Health Care Financ Rev. 2009 Summer;30(4):17-32.

25.

Redesigning the Medicare inpatient PPS to reduce payments to hospitals with high readmission rates.

Averill RF, McCullough EC, Hughes JS, Goldfield NI, Vertrees JC, Fuller RL.

Health Care Financ Rev. 2009 Summer;30(4):1-15.

26.

Paying for quality and coordination: aligning provider payments with global goals.

Goldfield NI, Fuller RL, Averill RF.

Am J Med Qual. 2009 Nov-Dec;24(6):480-8. doi: 10.1177/1062860609341195. Epub 2009 Jul 20.

PMID:
19620705
27.

Developing a prospective payment system based on episodes of care.

Averill RF, Goldfield NI, Hughes JS, Eisenhandler J, Vertrees JC.

J Ambul Care Manage. 2009 Jul-Sep;32(3):241-51. doi: 10.1097/JAC.0b013e3181ac9d6f.

PMID:
19542814
28.

Hospital complications: linking payment reduction to preventability.

Averill RE, Hughes JS, Goldfield NI, McCullough EC.

Jt Comm J Qual Patient Saf. 2009 May;35(5):283-5.

PMID:
19480383
29.

Identifying potentially preventable readmissions.

Goldfield NI, McCullough EC, Hughes JS, Tang AM, Eastman B, Rawlins LK, Averill RF.

Health Care Financ Rev. 2008 Fall;30(1):75-91.

30.

Implementing a new payment system for primary care physicians: a response to Schoenbaum et al and other feedback.

Goldfield N, Averill R, Vertrees J, Fuller R, Mesches D, Moore G, Wasson JH, Kelly W.

J Ambul Care Manage. 2008 Apr-Jun;31(2):154-60. doi: 10.1097/01.JAC.0000314706.80536.d0. No abstract available.

PMID:
18360177
31.

A response to the Prometheus proposal--well intended but impossible to implement.

Goldfield N, Averill R, Fuller R, Vertrees J.

Am J Med Qual. 2008 Mar-Apr;23(2):85-9. doi: 10.1177/1062860607313152. Epub 2008 Feb 1. No abstract available.

PMID:
18245576
32.

Reforming the primary care physician payment system: eliminating E & M codes and creating the financial incentives for an "advanced medical home".

Goldfield N, Averill R, Vertrees J, Fuller R, Mesches D, Moore G, Wasson JH, Kelly W.

J Ambul Care Manage. 2008 Jan-Mar;31(1):24-31.

PMID:
18162792
33.

Ambulatory Patient Groups, Version 3.0--a classification system for payment of ambulatory visits.

Goldfield N, Averill R, Eisenhandler J, Grant T.

J Ambul Care Manage. 2008 Jan-Mar;31(1):2-16.

PMID:
18162790
34.

Redesigning Medicare inpatient PPS to adjust payment for post-admission complications.

Averill RF, Vertrees JC, McCullough EC, Hughes JS, Goldfield NI.

Health Care Financ Rev. 2006 Spring;27(3):83-93.

35.

Identifying potentially preventable complications using a present on admission indicator.

Hughes JS, Averill RF, Goldfield NI, Gay JC, Muldoon J, McCullough E, Xiang J.

Health Care Financ Rev. 2006 Spring;27(3):63-82.

36.

Pay for performance: an excellent idea that simply needs implementation.

Goldfield N, Burford R, Averill R, Boissonnault B, Kelly W, Kravis T, Smithline N.

Qual Manag Health Care. 2005 Jan-Mar;14(1):31-44.

PMID:
15739580
37.

Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management.

Hughes JS, Averill RF, Eisenhandler J, Goldfield NI, Muldoon J, Neff JM, Gay JC.

Med Care. 2004 Jan;42(1):81-90.

PMID:
14713742
38.

A closer look at all-patient refined DRGs.

Averill RF, Goldfield NI, Muldoon J, Steinbeck BA, Grant TM.

J AHIMA. 2002 Jan;73(1):46-50. No abstract available.

PMID:
12469662
39.

It's management not payment that we should focus on: comments on Welch.

Goldfield N, Averill R.

J Ambul Care Manage. 2002 Jul;25(3):16-22.

PMID:
12141014
40.

Payment and provider profiling of episodes of illness of clinical illnesses involving rehabilitation.

Goldfield N, Averill R, Eisenhandler J.

J Outcome Meas. 2000-2001;4(3):706-20.

PMID:
11253904
41.

Development of the ICD-10 procedure coding system (ICD-10-PCS).

Averill RF, Mullin RL, Steinbeck BA, Goldfield NI, Grant TM.

Top Health Inf Manage. 2001 Feb;21(3):54-88.

PMID:
11234732
42.

New APCs (ambulatory patient classifications) for a new year: more OPPS changes.

Averill RF, Grant TM, Bonazelli JA.

J AHIMA. 2001 Feb;72(2):59-61. No abstract available.

PMID:
11216049
43.

New APCs and more: changes to the outpatient prospective payment system.

Averill RF, Grant TM, Steinbeck B.

J AHIMA. 2000 Nov-Dec;71(10):55-7. No abstract available.

PMID:
11185860
44.

APCs: a special report. Preparing for the outpatient prospective payment system.

Averill RF, Grant TM, Steinbeck BA.

J AHIMA. 2000 Jul-Aug;71(7):35-43. No abstract available.

PMID:
11010106
45.

On "risk-adjusting acute myocardial infarction mortality: are APR-DRGs the right tool?".

Goldfield N, Averill R.

Health Serv Res. 2000 Mar;34(7):1491-5; discussion 1495-8. No abstract available.

46.

Align docs', hospitals' money incentives.

Averill R, Kalison M, Surpin J.

Mod Healthc. 1999 Aug 9;29(32):50, 66. No abstract available.

PMID:
10558246
47.

Honest mistake or fraud? Meeting the coding compliance challenge.

Averill RF.

J AHIMA. 1999 May;70(5):16-21; quiz 23-4. No abstract available.

PMID:
10387641
48.

The prospective risk adjustment system.

Goldfield N, Averill R, Eisenhandler J, Hughes JS, Muldoon J, Steinbeck B, Bagadia F.

J Ambul Care Manage. 1999 Apr;22(2):41-52.

PMID:
10387584
49.
50.

Put competition into PPS. How Medicare can save money by allowing hospitals to offer DRG discounts.

Averill RF.

Mod Healthc. 1997 Dec 1;27(48):54. No abstract available.

PMID:
10174993

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