Harvard Business Review October 4, 2017
Brian J. Marcotte • Annette Guarisco Fildes • Michael Thompson • Leah Binder

SUMMARY

There’s a debate in the United States about whether the current measures of health care quality are adequate to support the movement away from fee-for-service toward value-based payment. Some providers advocate slowing or even halting payment reform efforts because they don’t believe that quality can be adequately measured to determine fair payment. Employers and other purchasers, however, strongly support the currently available quality measures used in payment reform efforts to reward higher-performing providers. So far, the Trump administration has not weighed in.

The four of us, leaders of organizations that represent large employers and other purchasers of health care, reject any delay in payment reform efforts for the following three reasons:

Even imperfect measurement and transparency accelerate quality improvement....

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Employer, EMR / EHR, Health IT, Health System / Hospital, HIE (Interoperability), MACRA, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, Self-insured, Value Based
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