Payment Reform

Quality Field Notes features key lessons learned by regional Alliances of clinicians, patients, and payers in Aligning Forces for Quality communities as they work to transform local health care and provide models for national reform. The latest topic in this series focuses on regional collaboratives. Regional collaboratives provide unlikely partners—including purchasers, payers, consumer advocates, clinicians, and others—a neutral setting in which collective goals and actionable strategies can be established. For the past eight years...
Health care leaders in New Mexico, including employers and other key stakeholders, are finding creative ways to improve the state’s delivery system while managing overall costs. Together, these disparate groups are crafting ways to ensure that health care payments are tied to the value, and not the volume, of the services delivered. These efforts are led by the New Mexico Coalition for Healthcare Quality, one of RWJF’s Aligning Forces for Quality (AF4Q) communities, which has brought together providers, patients, employers and insurers to help improve regional health care...
Published: Jun 2013
Author: AF4Q National Program Office (NPO)
Local initiatives are showing how new methods for paying for health care can improve quality and control costs. One strategy, called bundled paymen...
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Published: Mar 2014
Author: AF4Q National Program Office
Efforts to engage patients and consumers in decisions about their care have evolved to incorporating consumer input and feedback on organization...
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Published: Jul 2013
Author: Aligning Forces for Quality NPO
In a normal market-based economic model, rational actors respond to incentives. Competition raises quality and lowers costs. Innovations can be dis...
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Author: Robert Wood Johnson Foundation
This paper reports on the work of an RWJF-convened payment reform advisory panel convened in April 2010. Health policy experts, as well as represen...
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Published: Nov 2010
Author: David Williams
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Published: Jul 2006
Author: Burness Communications, The LeapFrog Group, The Robert Wood Johnson Foundation
This primer explores issues to consider when pursing an incentive and reward strategy. These issues include contemplation, program design, program ...
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Author: Cristie Upshaw Travis, CEO, Memphis Business Group on Health
Christie Upshaw Travis provides a overview of how employers are engaged at the National Meeting held in Broomfield, Colorado.
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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 health insurance 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.