State Payment Reform

As the healthcare system continues to change, many states have taken the lead in adjusting their policies to match with a quality, value based system. Greater investment in primary care is associated with lower costs, higher patient satisfaction, fewer hospitalizations, fewer ED visits and lower mortality. To date, nine states (RI, OR, ME, DE, WV, WA, VT, CO, CT) have either passed legislation or a budget proviso to allocate more healthcare expenditure towards primary care. In addition to these nine, several other states have either attempted, or are currently exploring options to do something similar. These states have recognized that a shift in healthcare expenditure, allowing more comprehensive and effective primary care, is necessary to achieve a higher performing overall healthcare system. The PCC is committed to connecting these state leaders with stakeholders providing other perspectives, to allow them to craft the most constructive legislation possible.

Resources

HCP LAN Primary Care Payment Models White Paper
Health Care Payment Learning and Action Network | February 2017
Urban Institute & Catalyst for Payment Reform | May 2016
This resource discusses a project conducted that looks at how payment methods and benefit designs can work together to improve quality and increase value of care. This intersection should be considered when moving forward with reforms that aim to create more high-value care.

Associated Stakeholders: 

Advocacy & Public Policy

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