Health Affairs April 25, 2017
Mark McClellan, Robert Richards, and Mark Japinga

The US health care system is transforming how it pays for and delivers care. New payment models and benefit designs aim to promote and sustain improvements in health and care delivery, specifically focusing on better outcomes and lower costs. Supporting better payment policies is increasingly critical as rising costs affect the ability of individuals to afford coverage.

However, the transition to new models is not easy. Published studies of payment reforms have shown mixed results, leaving providers, payers, purchasers, and patients uncertain about how to proceed.

There is a strong consensus among health care stakeholders about the need for better evidence on the impact of payment reforms. Better evidence would give providers and the public more confidence in implementing payment...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Congress / White House, Employer, Health System / Hospital, Healthcare System, HHS, MACRA, Market Research, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Pricing / Spending, Primary care, Private Exchange, Provider, Public Exchange, RCM (Revenue Cycle Mgmt), Regulations, Retail care, Self-insured, Telehealth, Urgent care, Value Based
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