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Facilitators and Barriers to Payment Reform
This issue brief draws upon the experience of RWJF grantees and others to identify the most common facilitators and barriers to payment innovation.
Payment Reform
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Legal Issues in Designing Bundled Payments
This resource provides guidance and templates to help organizations work with commercial payors to develop successful and compliant bundled payment and shared savings arrangements.
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Improving Incentives
A new approach to controlling health care costs looks beyond rewards and penalties, emphasizing the need to harness the inherent motivation that doctors and patients have to make good decisions about health care.
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The Pursuit of Payment Reform
This brief explores alternative models for payment reform, and what is happening inside Aligning Forces for Quality to pilot payment reform initiatives.
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Payment Matters: The ROI for Payment Reform
There is growing evidence that payment reform strategies can yield a good return on investment for employer purchasers. This series of briefs from AcademyHealth explains four approaches to payment reform.
A New Way to Pay for Care
The current method of paying for health care is broken. RWJF is testing and learning from new payment innovation models with the goal of managing costs and increasing quality.
What should a reformed payment system look like?
What Models of Payment Reform Hold the Most Promise?
Policy-makers are considering a number of models to reform the payment system, including accountable care organizations, bundled payments, patient-centered medical homes, and comprehensive care payments. This snapshot provides an overview of the four models.
Read the snapshotModels of Payment Reform
A Debate: Bundled Episodes vs. Global Payments
There is agreement in the health care community that the current fee-for-service approach to paying for care is flawed and increasing unaffordable. However, there is a lack of consensus on what form a new payment system should take.
One option, bundled payments, is about to be piloted nationally in the Medicare program as a way of paying for certain high-volume, high-cost procedures. Proponents like Francois de Brantes applaud such developments, and are laying the groundwork for implementation.
Payment expert Robert Berenson would prefer to see more experimentation with global payments, which is currently used by HMOs and gives providers a stronger incentive to reduce unnecessary care.
In this brief, de Brantes and Berenson debate the merits of the two payment models.
Read the debateMaking Reform a Reality
Harold Miller of the Center for Healthcare Quality and Payment Reform explains how to manage the complexities of payment innovation initiatives.
Read the paperFrom Volume to Value
This Health Affairs article discusses how the current payment system encourages volume-driven care, rather than value-driven care.
Read the articleWebinar: What Kinds of Data are Needed for Payment Reform?
Some of the biggest barriers physicians, hospitals, health plans, and purchasers face as they pursue payment and delivery reform include accessing the right types of data and data analyses. Watch an AcademyHealth webinar on how to use data to support the successful development of payment and delivery reform efforts.
Learn About Our Work
Learn about RWJF programs and grants finding new ways to advance payment reform.
We can no longer rely on the predominant way we pay for care. It leads to perversely high service volume and inexorably rising health care costs. Our task now is not to stay put or go back, but rather to decide which way to proceed."
– Michael Painter, JD, MD, Senior Program Officer