{"id":"https://openalex.org/W2333622015","doi":"https://doi.org/10.1056/nejmp1105963","title":"Opportunities and Challenges for Episode-Based Payment","display_name":"Opportunities and Challenges for Episode-Based Payment","publication_year":2011,"publication_date":"2011-08-24","ids":{"openalex":"https://openalex.org/W2333622015","doi":"https://doi.org/10.1056/nejmp1105963","mag":"2333622015","pmid":"https://pubmed.ncbi.nlm.nih.gov/21864162"},"language":"en","primary_location":{"id":"doi:10.1056/nejmp1105963","doi":"https://doi.org/10.1056/nejmp1105963","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejmp1105963","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009088962","display_name":"Robert E. Mechanic","orcid":"https://orcid.org/0009-0003-5112-0870","observed_orcids":["https://orcid.org/0009-0003-5112-0870"]},"institutions":[{"id":"https://openalex.org/I6902469","display_name":"Brandeis University","ror":"https://ror.org/05abbep66","country_code":"US","type":"education","lineage":["https://openalex.org/I6902469"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Robert E. Mechanic","raw_affiliation_strings":["Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA","Heller School for Social Policy and Management, Brandeis University, Waltham, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USA","institution_ids":["https://openalex.org/I6902469"]},{"raw_affiliation_string":"Heller School for Social Policy and Management, Brandeis University, Waltham, MA","institution_ids":["https://openalex.org/I6902469"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5009088962"],"corresponding_institution_ids":["https://openalex.org/I6902469"],"apc_list":null,"apc_paid":null,"fwci":18.4125,"has_fulltext":false,"cited_by_count":73,"citation_normalized_percentile":{"value":0.99030104,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"365","issue":"9","first_page":"777","last_page":"779"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/bundled-payment","display_name":"bundled payment","score":1.0},{"id":"https://openalex.org/keywords/affordable-care-act","display_name":"Affordable Care Act","score":0.7820000052452087},{"id":"https://openalex.org/keywords/payment-reform","display_name":"payment reform","score":0.8659999966621399},{"id":"https://openalex.org/keywords/care-coordination","display_name":"care coordination","score":0.781000018119812},{"id":"https://openalex.org/keywords/health-care-efficiency","display_name":"health care efficiency","score":0.5619999766349792},{"id":"https://openalex.org/keywords/implementation-barriers","display_name":"implementation barriers","score":0.5989999771118164},{"id":"https://openalex.org/keywords/fee-for-service","display_name":"fee-for-service","score":0.7639999985694885},{"id":"https://openalex.org/keywords/capitation","display_name":"capitation","score":0.8899999856948853},{"id":"https://openalex.org/keywords/healthcare-reimbursement","display_name":"health care reimbursement","score":0.48100000619888306}],"concepts":[{"id":"https://openalex.org/C2776196091","wikidata":"https://www.wikidata.org/wiki/Q5035821","display_name":"Capitation","level":3,"score":0.9110090136528015},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.7828869223594666},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.6908695697784424},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.578586995601654},{"id":"https://openalex.org/C2776753347","wikidata":"https://www.wikidata.org/wiki/Q5441151","display_name":"Fee-for-service","level":3,"score":0.5778566598892212},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.4239046573638916},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.41687339544296265},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.30779796838760376},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.2293606996536255},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.19401532411575317},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.10364127159118652},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.09937453269958496},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.08939799666404724},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D011445","descriptor_name":"Prospective Payment System","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017050","descriptor_name":"Episode of Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1056/nejmp1105963","doi":"https://doi.org/10.1056/nejmp1105963","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejmp1105963","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:21864162","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21864162","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New England journal of medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W1972813077","https://openalex.org/W1995130676","https://openalex.org/W2086047003","https://openalex.org/W2168663664"],"related_works":["https://openalex.org/W2373872251","https://openalex.org/W2275295936","https://openalex.org/W2017566827","https://openalex.org/W1570706786","https://openalex.org/W2168663664","https://openalex.org/W2014278857","https://openalex.org/W2086047003","https://openalex.org/W2316080693","https://openalex.org/W2943845431","https://openalex.org/W2619825499"],"abstract_inverted_index":{"Episode-based":[0],"payment,":[1],"one":[2],"of":[3],"the":[4,8],"payment":[5],"reforms":[6],"in":[7],"Affordable":[9],"Care":[10],"Act,":[11],"aims":[12],"to":[13,26],"create":[14],"incentives":[15],"for":[16,30],"efficiency":[17],"and":[18,34],"better":[19],"care":[20],"coordination.":[21],"But":[22],"it's":[23],"more":[24],"complex":[25],"administer":[27],"than":[28],"fee":[29],"service":[31],"or":[32],"capitation":[33],"faces":[35],"substantial":[36],"implementation":[37],"challenges.":[38]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":5},{"year":2018,"cited_by_count":9},{"year":2017,"cited_by_count":8},{"year":2016,"cited_by_count":7},{"year":2015,"cited_by_count":10},{"year":2014,"cited_by_count":7},{"year":2013,"cited_by_count":12},{"year":2012,"cited_by_count":6}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}
