The Next Generation of Payment Reforms for Population Health – An Actionable Agenda for 2035 Informed by Past Gains and Ongoing Lessons.
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| Title: | The Next Generation of Payment Reforms for Population Health – An Actionable Agenda for 2035 Informed by Past Gains and Ongoing Lessons. |
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| Authors: | KADAKIA, KUSHAL T., OFFODILE, ANAEZE C. |
| Source: | Milbank Quarterly. Apr2023 Supplement 1, Vol. 101, p866-892. 27p. 5 Charts, 1 Graph. |
| Subjects: | Fee for service (Medical fees), Health policy, Rural hospitals, Strategic planning, Health services accessibility, Hospital emergency services, Managed care programs, Home care services, Medical care, Health care reform, Centers for Medicare & Medicaid Services (U.S.), Health insurance reimbursement, Benchmarking (Management), Critical care medicine, Health insurance, Prospective payment systems, Financial management, Population health, Budget, Health care rationing, Federal government, Outpatient services in hospitals |
| Geographic Terms: | United States |
| Abstract: | Policy PointsThe predominantly fee‐for‐service reimbursement architecture of the US health care system contributes to waste and excess spending.While the past decade of payment reforms has galvanized the adoption of alternative payment models and generated moderate savings, uptake of truly population‐based payment systems continues to lag, and interventions to date have had limited impact on care quality, outcomes, and health equity.To realize the promise of payment reforms as instruments for delivery system transformation, future policies for health care financing must focus on accelerating the diffusion of value‐based payment, leveraging payments to redress inequities, and incentivizing partnerships with cross‐sector entities to invest in the upstream drivers of health. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Policy PointsThe predominantly fee‐for‐service reimbursement architecture of the US health care system contributes to waste and excess spending.While the past decade of payment reforms has galvanized the adoption of alternative payment models and generated moderate savings, uptake of truly population‐based payment systems continues to lag, and interventions to date have had limited impact on care quality, outcomes, and health equity.To realize the promise of payment reforms as instruments for delivery system transformation, future policies for health care financing must focus on accelerating the diffusion of value‐based payment, leveraging payments to redress inequities, and incentivizing partnerships with cross‐sector entities to invest in the upstream drivers of health. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 0887378X |
| DOI: | 10.1111/1468-0009.12632 |
