In October 2014, the Robert Wood Johnson Foundation (RWJF) convened grantees and a diverse group of faculty to continue exploration of payment reform design and implementation issues. The grantees and national experts focused on two different topics: best practices in payment reform and new areas of payment reform that push the current boundaries. A newly released issue brief summarizes three emerging challenges identified during the meeting that will need to be addressed to assure the long-term success of payment and delivery system reform:
- Aligning value-based payments to providers with the compensation approaches used by providers with their employed and contracted clinicians;
- Addressing social determinants of health in payment reform models; and
- Strategically repurposing hospital resources in the face of declining inpatient admissions.
