Market Momentum, Spillover Effects, And Evidence-Based Decision Making On Payment Reform

Health Affairs May 24, 2017
Hoangmai Pham, Michael Chernew, William Shrank, Robert Saunders, William Bleser, and Mark McClellan

While insurance coverage and access dominate policy conversations now, issues of the cost and quality of care are not far from the surface. To achieve value for the health care dollars that we spend and to make coverage and care more affordable, policy makers and payers have sponsored a broad range of activity around payment reforms to support new models of care. So much activity in the public and private sectors raises a fundamental question: With so many diverse reforms taking place, how is it possible to generate the evidence needed for informed decision making about payment reforms for the future?

A Bumper Crop Of Payment Reforms

After a decade of experiments with pay-for-performance that typically focused on clinical process...

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