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 Opens Module for MA Plans to Report MACRA Other Payer Advanced APM Information | McDermott Will & Emery | May 31, 2018 |
Payment Designed for People: Introducing the Primary Care Outcomes Model | NEJM Catalyst | October 23, 2018 |
Is Direct Primary Care a Game Changer? | JAMA Network | May 2, 2018 |
CareFirst Patient-Centered Medical Home Program Nets $1.2B In Savings Since 2011 | CareFirst | June 27, 2018 |
How one US state saved $240 million in health care spending | Quartz | March 1, 2018 |
Why Apple, Amazon, and Google are making big health care moves | Vox | March 6, 2018 |
To Curb Rising Health Insurance Costs, Some States Try 'Reinsurance Pools' | Pew Charitable Trusts | April 9, 2018 |
The biggest health care fix: a relentless focus on primary care | KevinMD.com | June 26, 2018 |
In a battle over the future of U.S. health care, a question emerges: Is primary care scalable? | STAT | January 13, 2022 |
Can Amazon cut Insurers out of primary care? | STAT | April 18, 2018 |