This article aims to answer the question: How does who pays for emergency department services (public, private, self-pay) affect the emergency department’s bottom line?
Bailit Health Purchasing-produced brief covering the valuable set of lessons learned from provider organizations that have experience in how actually make value-based compensation strategies work
This brief is the first of four in The Commonwealth Fund’s Medicare at 50 Years series that explore the key issues confronting the Medicare program and discuss potential policy options.
Prepared by the Network for Regional Healthcare Improvement, The Building Blocks of Successful Payment Reform: Designing Payment Systems That Support Higher-Value Health Care, shows how alternative payment models can be designed in ways that benefit patients, payers, and providers.
Health care costs can be hard to identify and harder understand. Organizations who are aware of their own costs and resource use—particularly in contrast to their peers—can take steps for more appropriate resource use. This Regional Health Improvement Collaboratives-produced brief features advice and lessons learned from leading organizations that have valuable experience advancing toward greater cost and quality information.
ACOs have become increasingly common in the United States. This brief provides an overview on ACOs and their development history. It also identifies current ACO trends and barriers and challenges to ACO formation.
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.
A Guide to Physician-Focused Payment Models describes seven different Alternative Payment Models (APMs) that can enable physicians in every specialty to redesign the way they deliver care in order to control spending and improve quality for their patients.
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.
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.