Payment Reform

 

Accountable Care Organizations (ACOs) have the promise to transform how health care is delivered by sharing financial awards among providers that realize savings in health care spending while improving quality. This article reviews the October 2011 regulatory policy statements related to the Medicare Shared Savings Program, clarifying some policies and altering others.

The Aligning Forces for Quality November 2011 National Meeting was held in Washington DC and was broken up into three distinct tracks: Payment, Care Across Settings, and Cost.  View video highlights on discussions and lectures below!  

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The Puget Sound Health Alliance and the State of Washington launched a multi-payer medical home pilot on May 1, 2011. The pilot, which includes eight medical groups with 12 locations with approximately 25,000 patients, is designed to restructure incentives to improve outcomes. In this pilot, primary care practices may receive an additional monthly fee per patient to support work that normally does not get reimbursed in a fee-for-service payment model, such as care coordination, increasing flexible...

Resources
  Learn about the success of the Humboldt County Alliance in regards to Value Based Purchasing (Reference Based Pricing) through this...
  Learn about the success of Blue Cross Blue Shield of Massachusetts in regards to their efforts in payment reform through this Bright Spot...
  Materials from the Align | Accelerate | Achieve sessions for the Payment Reform Track.  Includes handouts, presentation slides...
This paper reports on the work of an RWJF-convened payment reform advisory panel convened in April 2010. Health policy experts, as well as...
This paper from Harold D. Miller of the Center for Healthcare Quality and Payment Reform, takes an in-depth look at ways to successfully manage the...
Post Meeting Resources download full agenda
Payment Reform 101

The way we pay for care impacts the way care is delivered. By paying for appropriate, preventive, and coordinated care, the health of Americans can improve. Everyone — consumers, providers, insurers, and employers — has a stake and role in helping shape a new system. Aligning Forces communities are working with national experts and one another to develop bold, creative and pragmatic payment reform strategies to reduce cost and improve the value and efficiency of care.
Together we can build a high-value health system truly focused on improving the health of those who seek care.