As the healthcare system transitions away from fee for service, and towards a value based system, both payment and care delivery must adjust to keep up. The current model that is volume driven and centered on the producer must transition to be outcome driven and focused on the patient. While research is ongoing on the best way to achieve these changes, some effective payment and care deliver models, such as ACOs, have already shown to be effective in cost saving and improving the quality of care. The Center for Medicare and Medicaid Innovation lists their three measures of success as improving care and lowering costs, improving population health and prevention, and expanding health care coverage.
Title | Source | Date |
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CMS issues MACRA fact sheet for small practices: 3 key takeaways | Becker's Hospital Review | May 13, 2016 |
Highmark Adds Nearly 900 Physicians to Medical Home Program | Becker's Hospital Review | January 23, 2013 |
WellCare Health Plans to Incentivize PCMH Model | Becker's Hospital Review | May 15, 2013 |
5 initial reactions to the proposed MACRA rule | Becker's Hospital Review | April 29, 2016 |
Model Suggests Power to Bend the Health Spending Curve | The Commonwealth Fund | July 10, 2014 |
Strengthening Primary Health Care: The Importance of Payment Reform | The Commonwealth Fund | December 10, 2021 |
Hospital Care Prices Rose Faster Than the Cost of Physician Services | The Commonwealth Fund | February 4, 2019 |
Washington Health Policy Week in Review Compromise 'Doc Fix' Bill Scored by CBO | The Commonwealth Fund | February 27, 2014 |
CMS touts promise of two primary care initiatives | Bloomberg | January 23, 2015 |
UnitedHealth Joins Mayo Clinic in Pact to Improve Care | Bloomberg | January 15, 2013 |