Delivery System Redesign

The Commonwealth Fund Commission on a High Performance Health System analyzed a set of synergistic provider payment reforms, consumer incentives, and system-wide reforms to confront costs while improving health system performance with the goal of holding increases in national health expenditures to no more than long-term economic growth. 

The Affordable Care Act provides new opportunities to integrate care for individuals dually eligible for both Medicare and Medicaid, but states now face challenges in showing how these integrated models improve the quality care. This brief summarizes efforts to develop quality of care measures for Medicare-Medicaid enrollees. It provides guidance to states in developing measurement approaches for proposed integrated programs, including assessment of quality in specific domains of integrated care such as long-term services and supports and behavioral health services. It also describes how performance measures can be shaped by stakeholder input.

The Center for Improving Value in Health Care has officially launched the Colorado APCD. The database, created under legislative authority in 2010, includes claims data from commercial health plans, Medicare, and Medicaid.

Leading-edge states across the country are exploring the potential of accountable care organizations (ACOs) to drive improvements in quality, delivery, and cost-effectiveness for Medicaid populations. This brief outlines 10 core considerations to help guide the development and implementation of Medicaid ACO approaches.

Half of state Medicaid programs are taking new approaches to provider payment to help primary care practices become patient-centered medical homes for their low-income patients. This article focuses on trends in Medicaid patient-centered medical home payment that can inform public and private payment strategies more broadly.

In this brief, Manatt Health Solutions examines joint rules proposed by the U.S. Departments of the Treasury, Labor, and Health and Human Services for wellness program incentive.

This briefing describes the discussion of state and national leaders at an April 2012 meeting on the alignment of HIT and health care transformation activities at the state, local and national levels, including a description of the challenges leaders identified, successful strategies that leading states are currently using to address these challenges, and the leaders’ recommendations for next steps.

This Bipartisan Policy Center (BPC) background paper provides a basic overview of the drivers of health care cost growth, and serves as an analytical starting point for BPC's work on health care cost containment.

This Robert Wood Johnson Foundation-funded paper, authored by the Urban Institute, debates the benefits and drawbacks of bundled payments and global capitation.

This report synthesizes the experiences of teams from seven states (Arkansas, Connecticut, Hawaii, Minnesota, New Mexico, Ohio, and Virginia) that participated in a learning collaborative to advance health equity using select ACA and state policy levers.