Tag Archives: Payment Reform
It is true that evaluation results of payment reform models so far are not cause for celebration, but there are some positive cost and quality results and lessons are accumulating that can inform the next set of program parameters, incentive structures, and tools to help clinicians succeed.
August 14, 2017
Covered California, a state health insurance exchange, has taken advantage of its role as a purchaser to work with health plans and clinicians to implement policies to emphasize and enhance the role of primary care.
June 14, 2017
Because they cover more people than Medicare and Medicaid combined, employers could have a great deal of power over health care system reforms. But they need to use it.
April 21, 2017
We know how to eliminate medical errors, says the leader of a foundation in Pennsylvania. We just haven't shown the courage and conviction to do it.
June 21, 2016
While the ACA contains several tools designed to control health care costs, the current political environment makes it unlikely that reforms will be achieved at the federal level in the near future. States, however, are well-positioned to take the lead on implementing cost control and quality...
April 28, 2016
English developments with value-based and ACO-like care in the NHS are less prevalent and much less well documented than in the US. Nevertheless, significant lessons are beginning to emerge, some of which may have relevance internationally.
March 16, 2016
State insurance departments, State Employee Benefits, and Public Health departments and agencies in collaboration with Medicaid, private payers, and other stakeholders have undertaken significant roles to strengthen multipayer PCMH efforts.
December 8, 2015
Recent policy changes and announcements follow widespread calls to move from the current volume-based fee-for-service payment system to a value-based system that pays for patient outcomes rather than individual services. But there are major challenges to achieving that goal.
September 3, 2015
Faced with rising health care costs, states are designing and implementing payment reforms that fundamentally transform how the health care market provides and pays for services. Take for example Ohio and Oregon.
July 28, 2015
After the first year of implementation of the episodic payment component of the multi-payer Arkansas Payment Improvement Initiative (APII), the state has identified both successes and challenges.
May 19, 2015