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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Aetna medical home already paying off | Healthcare Payer News | June 27, 2014 |
Doctor Pay Hits $232,000 As Quality Gains More Meaning In ACA Era | Forbes | July 1, 2014 |
Horizon savings lower cost of business plans | Press of Atlantic City | July 7, 2014 |
Blue Cross CEO: Collaboration at core of integrated care | FierceHealthPayer | July 8, 2014 |
Blue Cross' $65 Billion Move Away From Fee-For-Service Medicine | Forbes | July 9, 2014 |
New form of U.S. healthcare saves money, improves quality, one insurer finds | Reuters | July 10, 2014 |
Will Health Reform Bring New Role, Respect To Primary Care Physicians? | Kaiser Health News | July 10, 2014 |
Model Suggests Power to Bend the Health Spending Curve | The Commonwealth Fund | July 10, 2014 |
Small practices key to CareFirst's medical home success | Modern Healthcare | July 11, 2014 |
Take value-based care beyond just financial rewards | FierceHealthPayer | July 16, 2014 |