Value-Based Payment

US health care reform over the past decade has placed substantial focus on rewiring health care financing, specifically increasing provider accountability for utilization (i.e., cost) and/or outcomes. More

The Center for Medicare and Medicaid Innovation (CMMI) seeks to develop evidence-based alternative payment models (APM) to improve health care quality… More

Context: In 2012, the Centers for Medicare and Medicaid Services implemented the Initiative to Reduce Avoidable Hospitalizations Among Nursing… More

Rather than focusing on “clinical non-inferiority,” or whether the reform lowers spending without negatively affecting outcomes, the authors propose focusing first on improving health first and second on lowering the implications for spending second. More

Context: Efforts are ongoing to advance value-based payment (VBP), and health centers serve as essential access points to comprehensive primary care… More

To make progress implementing payment and delivery system reforms, state governments need to make genuine stakeholder engagement routine business, develop reforms that build on past successes, and ensure health reform is a top priority for bureaucrats and political leaders. More

Sander Steenhuis of the Talma Institute at Vrije Universiteit Amsterdam and colleagues report on their systematic literature review of the payment model, in which they identify and categorize 53 key elements that affect the bundled payment contract development process. More