Payment Reform

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AF4Q Featured in Center for Health Care Strategies, Inc. Blog Post
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Quality Field Notes: Regional Collaboratives Can Improve the Value of Local Health Care
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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...
Engaging Employers in Changing Health Care
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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...
Resources

Bundled Payment: The Quest for Simplicity in Pricing and Tying Payment to Quality


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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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Engaging Consumers in Payment Reform Efforts That Impact Care Delivery Practices


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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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Beyond Widgets: The Pursuit of Payment Reform


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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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Charting a Path for Health Care Payment Reform: Recommendations for the Field


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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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Developing Sustainable Business Models


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Published: Nov 2010
Author: David Williams
 
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Incentives and Rewards Best Practices Primer: Lessons Learned from Early Pilots


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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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Engaging Employers: What Works? - Presentation, National Meeting May 17-19, 2011


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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.
Better Care Management for High-Utilizers

Oregon is one of the AF4Q Alliances that is spearheading an experiment with payment models. Five health plans and 14 physician practices are working together to improve care management for high-utilization patients. This program improves the care of almost 4,000 patients, incentivizes health plans and providers to collaborate, and could bring down overall health care costs. Stay tuned for more on their progress.