Improving Care via Innovation in Incentive Payments

Improving Care via Innovation in Incentive Payments
 

Improving Care via Innovation in Incentive Payments

June 21, 2019  |  White Paper 


Key Insight

“As U.S. healthcare costs continue to soar, many states are experimenting with novel programs to improve overall population health, reduce cost of care, and improve patient outcomes."

 

Abstract

The US healthcare system is moving slowly from volume to value-based care. Value- based care models reimburse providers based on agreed-to health outcomes, whereas volume-based care involves payment based on the number of services delivered1. Though different organizations may be at varying points in this progression, the change seems to be inevitable. As U.S. healthcare costs continue to soar, many states are experimenting with novel programs to improve overall population health, reduce cost of care, and improve patient outcomes. The Center for Medicare & Medicaid Innovation (CMMI) has developed several innovation models that have been implemented across the country with varying levels of success. On Tuesday, April 2nd, 2019, the Center for Healthcare Innovation (CHI) convened 25 healthcare executives at the “Improving Care via Innovation in Incentive Payments” roundtable at the Edelman firm in New York City. The participating thought leaders shared their experiences with alternative payments models, focusing not only on their successes, but also on the challenges faced. The thought leaders discussed a range of innovation models, from bundled payments to the Delivery System Reform Incentive Payment (DSRIP) program and the Oncology Care Model. This paper summarizes the major highlights from the “Improving Care via Innovation in Incentive Payments” roundtable.

The four main areas of focus for DSRIP are:

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The four main areas of focus for DSRIP are :

  1. Infrastructure development

  2. System redesign

  3. Clinical outcome improvements

  4. Population focused improvements

 

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Authors

Ananya Stoller

Senior Project Manager at CHI

Paul Ceverha, MA

Managing Director at AArete

John Marchisin

Managing Director at AArete