The Future of Value-Based Payment: A Road Map to 2030

The 2020s require a new strategy that moves from a short-term focus on testing new payment models to a long-term focus on expanding models that are most likely to generate substantial savings and improve quality. This white paper outlines a new direction for the federal government—primarily through the Centers for Medicare and Medicaid Services (CMS)—to chart over the next decade aimed at completing the transition to a health care system that pays for value and reduced health disparities, rather than high volumes of services.
The Future of Value-Based Payment

A decade of innovation and experimentation has failed to transform the health care system to one that pays for value rather than volume. It is now time to reconsider how value-based payment models can generate substantial savings and improve quality and health equity. Experts from the University of Pennsylvania, with input from a national panel of experts, reviewed the effectiveness of past payment reforms implemented by the Centers for Medicare and Medicaid Services (CMS) and made recommendations about how to accelerate and complete the nation’s transformation to value-based payment. This brief summarizes recommendations that provide a path toward widespread adoption and success of alternative payment models, producing better health outcomes for all Americans, reducing wasteful spending, improving health equity, and more effectively stewarding taxpayer funds to support other national priorities.
Exploring Inequities in Telemedicine
[Cross-posted from the Tradeoffs Research Corner]
A Message to the LDI Community
Conference Highlights from 'Medicare for All and Beyond'
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Shifting the Burden? Consequences Of Postacute Care Payment Reform On Informal Caregivers
[Reposted: Paula Chatterjee, Allison K. Hoffman, Rachel M. Werner. Shifting the Burden? Consequences Of Postacute Care Payment Reform On Informal Caregivers, Health Affairs Blog, September 5, 2019. https://www.healthaffairs.org/do/10.1377/hblog20190828.894278/full/: Copyright ©2019 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc.]
Patient-Centered Medical Homes: The Next Generation
The ugly truth is that health care is often inefficient, costly, and does not meet the needs of its principal constituent -- the patient. This realization has led many physicians and health systems to enthusiastically turn to a new model for delivering primary care, the patient-centered medical home. The patient-centered medical home is a simple idea. It reorganizes care around the needs of the patient, emphasizing coordinated, accessible, and efficient care. In short, it reimagines the health care delivery system in the best image of itself.
The Pay-Off on Nursing Home Report Cards
This Issue Brief summarizes a series of studies that assess the impact of public reporting on nursing home quality and on the financial performance of these facilities.
Hospital Performance Measures and Quality of Care
This Issue Brief summarizes studies that examine and quantify the relationship between frequently used measures of hospital performance and hospital mortality.