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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Volume Impact: How will PCMHs Affect Downstream Utilization and Referrals? | February 2011 | The Advisory Board Company | |
Wellmark reports improved quality and cost savings from its Accountable Care Organizations arrangements | August 2014 | Wellmark Blue Cross Blue Shield | |
Working Under a Clinic-Level Quality Incentive: Primary Care Clinicians’ Perceptions | February 2015 | Annals of Family Medicine |