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 | Date | Source | |
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A Global Budget Pilot Project Among Provider Partners And Blue Shield Of California Led To Savings In First Two Years | September 2013 | Health Affairs | |
2016 Large Employers' Health Plan Design:Reducing Costs While Looking Into the Future | August 2015 | National Business Group on Health | |
2012 Results Show Horizon BCBSNJ’s Patient-Centered Practices Delivering Better, Cost-Effective Health Care | July 2013 | Horizon Blue Cross Blue Shield |