HCTTF March 31, 2021
The passage of the Affordable Care Act in 2010 spurred a decade of payment reform efforts intended to shift the health care system from volume-driven Fee-For-Service payments to alternative payment models (APMs) with reimbursement linked to quality and outcomes. A principal goal of these efforts was to encourage the most efficient use of health care resources and control the growth of health care costs. While bending the cost curve has been the raison d’être for many health policymakers for decades, accurately measuring the impact of any single reform effort has been challenging to say the least.
The ACA was a massive piece of legislation that impacted several parts of the health care system simultaneously. It was implemented on the heels...