Quality, Cost, and Value

Our goal: Encourage, empower, and enable health care delivery systems to provide truly value-based care that ensures the best health care. We strive to call out and address disparities in health and health care wherever they exist. More >>

In the Spotlight

More Alternative Payment Models for Rural Hospitals
The American Hospital Association’s (AHA) 2019 Rural Advocacy Agenda calls for better opportunities for rural hospitals to succeed in value-based payment models, including bundled payments and the Quality Payment program. This RevCycleIntelligence article notes that many alternative payment models do not account for the unique challenges of rural providers, and AHA is recommending that new and current models should be evaluated and expanded as appropriate.

Benefits from the New CMS Price Transparency Rule
An article in FierceHealthcare looks at how the new Centers for Medicare & Medicaid Services (CMS) price transparency rule “could allow creative third parties to build effective comparison tools for price shopping that would be more useful to patients than simply downloading a price list.”

The Cost of Patient-Reported Outcomes in Medicine
Capturing the voice of the patient through patient-reported outcomes (PROs) and immediately incorporating this information into the electronic health record is critical to advance quality medical care, note the authors of a NEJM Catalyst article. Currently, technological barriers as well as perceived cost challenges obstruct the wider adoption of PROs in clinical settings.

Payment Designed for People: Primary Care Outcomes Model
A NEJM Catalyst article describes a reimbursement model that seeks to better align incentives for primary care physicians and maximize gains in achieving the Triple Aim. The authors worked with a payer to co-design the model.

Survey on Transitioning to Value-Based Payment Models
This article in NEJM Catalyst provides an overview of the current state of the health care field’s transition from fee-for-service to value-based payment models.


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