Tag Archives: Catalyst for Payment Reform

The Payment Reform Landscape: Is The Debate Over Retrospective Versus Prospective Bundled Payments A Distraction?

Setting a prospective target budget, instituting reasonable downside financial risk, and tying final payment amounts to performance on a set of outcome measures all provide powerful incentives to manage patients well while adhering to a budget.

June 23, 2017

The Payment Reform Landscape: Maternity Care Progress And Stagnation

We can intervene less and spend less money in labor and delivery care while improving the quality of care for women and their babies. Why then is there so much unnecessary intervention and why is it so persistent?

September 30, 2016

The Payment Reform Landscape: A Road Map For States To Bring Their Transparency ‘A’ Game

A body of literature suggests consumers will make informed choices in health care, much as they do in other areas, when presented with the right information. The public availability of real cost and quality information can affect the market, promoting competition that can lower costs and...

July 26, 2016

The Payment Reform Landscape: Tailoring Payment Reforms To Local Market Dynamics

Payment reform is rapidly expanding across the nation. However, while a one-size-fits-all model may work in certain markets, it’s unlikely to work in others. CPR pioneered a market assessment tool to provide stakeholders with a way to navigate how their market's characteristics impact options...

June 21, 2016

Understanding How Payment And Benefit Designs Work Together In Health Care

While Medicare and Medicaid benefit design is set by law and effectively frozen, private health care purchasers are able to innovate freely. The Urban Institute and Catalyst for Payment Reform partnered to define and categorize the payment methods and benefit designs available in the market...

May 25, 2016

The Payment Reform Landscape: Where We Started On Transparency Tools And Where We Need To Go

Modern technology has made savvy shopping for most items easy, yet the retail marketplace for health services does not enjoy the same consumer-friendly landscape. As an increasing number of consumers assume more financial responsibility for their care, the lack of adequate tools is an obstacle...

March 31, 2016

The Payment Reform Landscape: How Does Telehealth Fit Into A High-Value Purchasing Strategy?

The delivery of health care through telecommunications is not new, but current concerns about access to primary care, access to certain specialists, appropriate utilization, and the need to infuse more value into health care offerings have led many purchasers to implement or consider telehealth.

February 12, 2016

Synchronizing Medicare Advantage And ACOs To Support The Secretary’s Quality And Value Payment Goals

In January 2015, HHS Secretary Sylvia Burwell announced the Department will tie an increasing percentage of Medicare reimbursement to quality or value. The Secretary's goals, however, exclude Medicare Advantage, which is expected to double its enrollment to 22 million beneficiaries between 2010...

December 28, 2015

The Payment Reform Landscape: A Standard Framework To Evaluate Payment Reform Programs

What if the health care industry were to agree to some general parameters for evaluation of payment reforms that are meaningful to those who use and pay for care? This post describes what a standard approach to evaluation might entail.

December 16, 2015

The Payment Reform Landscape: Specialty Pharmacy — Can Payment Reform Offer Relief?

The increasing number of specialty pharmaceuticals available is good news for the patients who sorely need these drugs to improve, or even reverse, their medical conditions. However, specialty pharmacy is also the fastest growing sector of pharmacy spending today.

November 19, 2015