Four innovative strategies to help providers succeed under payment reform
- Collection:
- Health Policy and Services Research
- Author(s):
- Bailit, Michael, author Houy, Margaret, author
- Contributor(s):
- AcademyHealth, issuing body. Bailit Health Purchasing, issuing body. Robert Wood Johnson Foundation, issuing body.
- Publication:
- [Washington, D.C.] : AcademyHealth, August 2014
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Care Reform Insurance, Health, Reimbursement Patient Care Management Cost Control Health Care Costs Health Services Needs and Demand Models, Organizational Organizational Culture Humans United States
- Genre(s):
- Technical Report
- Abstract:
- In February 2014, Robert Wood Johnson Foundation (RWJF) payment reform grantees met to explore innovative activities that providers and payers had initiated to ensure that new payment models were successful in propelling improvements in quality of care and reductions in the growth of health care costs. Experts from around the country joined the grantees to share experiences and best practices. The primary focus of the meeting was on provider-based activities that were making a difference in terms of systems transformation. This brief summarizes the following selected innovations described by presenters during the meeting: (1) experimenting with target population identification for care management; (2) applying a laser focus on target population needs and creative care management responses; (3) understanding costs in order to improve efficiency; and (4) supporting providers with information and consultation. This brief explores each of these "bright lights" and draws lessons from providers and insurers on the ground. The brief also identifies characteristics that position organizations for success in these efforts: (1) An organization's willingness to create cultural and temporal space for innovation by valuing change as a catalytic agent and dedicating resources to problem solving; (2) A willingness of those involved to look at the problem and possible solutions through a different lens; and (3) Recognizing the importance of data to build evidence-based processes. Readers are encouraged to view the webinars associated with these examples of providers and insurers in action. Links are provided within the text to help guide this exploration.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (6 pages))
- NLM Unique ID:
- 101639228 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101639228