The Payment Reform Glossary

The Payment Reform Glossary

Created by the Center for Healthcare Quality and Payment Reform, The Payment Reform Glossary is designed to facilitate a better understanding of payment reform concepts and to create a foundation for a common language for developing and discussing payment reform concepts so they can be supported and implemented by all stakeholders– patients, providers, employers, health plans, and government agencies.

Ten Barriers to Healthcare Payment Reform and How to Overcome Them

Ten Barriers to Healthcare Payment Reform and How to Overcome Them

Ten Barriers to Healthcare Payment Reform and How to Overcome Them describes many of the biggest barriers that physicians, hospitals, health plans, employers, and policy-makers are facing in implementing payment reforms, along with strategies for solving them.

Making the Business Case for Payment and Delivery Reform

Making the Business Case for Payment and Delivery Reform

The Center for Healthcare Quality & Payment Reform created this report, which describes a ten-step process to develop a business case, and provides a detailed example of how to apply the process to an initiative to improve management of chronic disease patients. The report also describes the types of data that are needed to carry out all of the steps in a good business case analysis.

White Paper: Accountable Care Financial Arrangements: Options and Considerations

White Paper: Accountable Care Financial Arrangements: Options and Considerations

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care delivery system, has released this report that offers a comprehensive look at the seven predominant payment models currently used by accountable care organizations.

National Payment Reform Summit Final Summary Report

National Payment Reform Summit Final Summary Report: Accelerating the Implementation of Value-Based Care and Payment

The Summit was convened by the Network for Regional Healthcare Improvement with assistance from the Center for Healthcare Quality and Payment Reform and with generous financial support from the Robert Wood Johnson Foundation. Together the group compiled the recommendations contained in this Summary Report. The group included physicians from 16 different specialties; executives of national and regional self-insured businesses; leaders of employer purchasing coalitions; representatives of hospital and medical associations; health plan executives; foundation leaders; directors of Regional Health Improvement Collaboratives; federal and state government officials; executives of healthcare Quality Improvement Organizations; consumers and representatives of labor organizations; and others with expertise and experience in efforts to design and implement better payment systems.

The Mental Health Parity and Addiction Equity Act Evaluation Study

The Mental Health Parity and Addiction Equity Act Evaluation Study: Impact on Mental Health Financial Requirements among Commercial “Carve-In” Plans

This research article, posted by AcademyHealth, investigated if mental health cost-sharing decreased following implementation of the Mental Health Parity and Addiction Equity Act (MHPAEA).

Why Doesn’t Payment Reform Support Population Health? A Look at the Barriers

Why Doesn’t Payment Reform Support Population Health? A Look at the Barriers

AcademyHealth’s Payment Reform for Population Health (P4PH) initiative, funded by the Robert Wood Johnson Foundation, works to identify the challenges associated with linking the health care payment system to geographically-based population health.

Attributing Patient to Accountable Care Organizations: Performance Year Approach Aligns Stakeholder Interest

Attributing Patient to Accountable Care Organizations: Performance Year Approach Aligns Stakeholder Interest

Researchers simulated the effects of the two methods proposed for assigning patients to an accountable care organization: prospective attribution and retrospective, or performance year, attribution. Their analysis suggests that performance year attribution offers advantages to health care providers.