Delivery System Redesign
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- 06/10/2013
Under the Affordable Care Act and other health reform initiatives, the federal government has begun implementing policies to encourage hospitals to reduce preventable readmissions of patients. Each of the policies holds hospitals primarily accountable for readmissions and assesses performance using risk-standardized readmission rates. Commonwealth Fund–supported researchers examined the change in readmission rates over a two-year period and the relationship between these rates and other commonly used measures of hospital quality.
- 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.
