Payment and Delivery Innovation

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. 

Resources

Patient-Centered Primary Care Collaborative | July 2017
HCP LAN Primary Care Payment Models White Paper
Health Care Payment Learning and Action Network | February 2017
AHRQ | July 2016
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.
National Business Group on Health | March 2016
National Business Group on Health | August 2015

Associated Stakeholders: 

Advocacy & Public Policy

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