Health Affairs September 30, 2022
Alice Hm Chen, Peter V. Lee

The past decade has been marked by dramatic expansions of coverage driven by the Affordable Care Act (ACA), significant changes in the rules governing how insurers offer coverage, and a consensus among policy makers and purchasers that health care at all levels must be better anchored in rewarding and paying for “value” as defined by cost, quality, and increasingly, equity. This focus on value has resulted in a wide array of measurement and payment initiatives targeted at providers, from physicians to medical groups to hospitals. While patients assess value through the lens of their preferences and experiences, central to the concept of health-system value is the need to measure and reward care based on cost, quality, and equity at a...

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Oliver Wyman

 
Topics: ACA (Affordable Care Act), CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Payment Models, Regulations, Value Based
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