Delivery System Redesign
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- 06/10/2013To guide New Jersey communities in designing ACO demonstration projects, the Center for Health Care Strategies (CHCS) developed The New Jersey Medicaid Accountable Care Organization Business Planning Toolkit. The toolkit, made possible through The Nicholson Foundation, provides step-by-step guidance and templates to facilitate ACO planning. Content is organized within three sections: (1) Building the ACO Framework; (2) ACO Nuts and Bolts; (3) Constructing the ACO. While the toolkit is geared toward New Jersey, the guidance and practical templates can help Medicaid stakeholders across the country in developing ACO models aimed at improving care and controlling costs for beneficiaries with complex needs.
- 05/30/2013
The best opportunity to pursue cost containment in the next five to ten years is through reforming provider payment to gradually diminish the role of fee-for-service reimbursement. Public and private payers have launched many promising payment reform pilots aimed at blending fee-for-service with payment approaches based on broader units of care, such as an episode or patients’ total needs over a period of time, a crucial first step. But meaningful cost containment from payment reform will not be achieved until Medicare and Medicaid establish stronger incentives for providers to contract in this way, with discouragement of nonparticipation increasing over time.
- 05/30/2013
Across the country, states are increasingly capitalizing on a wave of momentum supporting multi-payer health system transformation. The federal government is building on existing state multi-payer activity, and spurring new public-private payment and delivery system reforms with initiatives like the State Innovation Models (SIM) program. This Multi-Payer Resource Center, a web-based toolkit, is designed to support states and others in answering key questions about convening, infrastructure, payment, attribution, and evaluation as they seek to implement multi-payer initiatives.
- 05/06/2013
This report proposes system-wide health care reforms that could save the United States $300 billion dollars in the coming decade and $1 trillion over the next 20 years, as well as improve care quality and patient health. The report focuses on changes that will shift payment from the current fee-for-service payment models to models that are more person-centered.
- 04/25/2013
In December 2012, AcademyHealth’s Research Insights project convened an expert meeting of leading academic researchers together with policy audiences to discuss how well physicians, organizations, and payers respond to and implement strategies to improve value in the U.S. health care system. Based on this discussion, a Research Insights report was released in April 2013. The report summarizes the meeting’s discussions from the different participant perspectives: payers, patients, and providers (including both clinical organizations and individual physicians). The report underscores the need for more precise performance measurement and better data as key issues for successful payment reform efforts.
