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

The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization

Patient-Centered Primary Care Collaborative | July 2017
HCP LAN Primary Care Payment Models White Paper

Accelerating and Aligning Primary Care Payment Models

Health Care Payment Learning and Action Network | February 2017

Improving Population Health by Working with Communities: Action Guide 3.0

National Quality Forum | August 2016

AHRQ Playbook

AHRQ | July 2016

Payment Methods and Benefit Designs: How They Work and How They Work Together to Improve Health Care

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.

The Primary Care Imperative

National Business Group on Health | March 2016

The Patient-Centered Medical Home's Impact on Cost and Quality: Annual Review of Evidence, 2014-2015

Patient-Centered Primary Care Collaborative | February 2016

2016 Large Employers' Health Plan Design

National Business Group on Health | August 2015

Related Content

Title Date Source
Payment Methods and Benefit Designs: How They Work and How They Work Together to Improve Health Care May 2016 Urban Institute & Catalyst for Payment Reform
The Primary Care Imperative:New Evidence Shows Importance of Employer Investment in Patient-Centered Medical Homes March 2016 National Business Group on Health
The Patient-Centered Medical Home's Impact on Cost and Quality: Annual Review of Evidence, 2014-2015 February 2016 Patient-Centered Primary Care Collaborative
2016 Large Employers' Health Plan Design:Reducing Costs While Looking Into the Future August 2015 National Business Group on Health
Serving Older Adults with Complex Care Needs: A New Benefit Option for Medicare July 2015 The Commonwealth Fund
Michigan continues to lead nation in patient-centered health care, thanks to Blue Cross Blue Shield of Michigan Patient-Centered Medical Home program July 2015 Blue Cross Blue Shield of Michigan
Connecticut medical practices collaborating with Cigna are having success improving quality and lowering medical costs May 2015 Cigna
Effects of Health Care Payment Models on Physician Practice in the United States April 2015 Rand Corporation
Health Affairs Logo Michigan’s Fee-For-Value Physician Incentive Program Reduces Spending And Improves Quality In Primary Care April 2015 Health Affairs
All Aboard: Engaging Self-Insured Employers in Multi-Payer Reform February 2015 Pacific Business Group on Health

Pages

Title Source Date
Coronavirus already changing medical care in the U.S. Los Angeles Times April 10, 2020
Geisinger, UPMC, among health systems fast-tracking tech, telehealth projects for COVID-19 Fierce Healthcare March 24, 2020
Investing more in primary care could lower health spending — if patients would go along Dallas Morning News February 18, 2020
Why aren’t Americans seeing primary care doctors? Medical Economics February 10, 2020
Advanced Primary Care Promotes Value-Based Care RevCycle Intelligence February 10, 2020
Michigan's Medicaid expansion doubles access to primary care American Medical Association January 27, 2020
Entering the Next Phase of Value-Based Care, Payment Reform RevCycle Intelligence January 17, 2020
Medicare Advantage And The Future Of Value-Based Care Health Affairs Blog July 3, 2019
While Considering Medicare For All: Policies For Making Health Care In The United States Better Health Affairs Blog June 6, 2019
A Roadmap For Driving High Performance In Alternative Payment Models Health Affairs Blog April 3, 2019

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