Reforming the Provider Payment System (In Focus Brief)

In Focus Brief
Publisher: Washington, DC: Mathematica Policy Research
Oct 21, 2015
Authors
Mathematica Policy Research
In an effort to control health care spending while improving service quality and access, private and public payers are experimenting with innovative ways to reimburse health care providers. The Centers for Medicare & Medicaid Services (CMS), for example, has invested significant resources to move away from traditional fee-for-service (FFS) payment toward alternative payment models that reward efficient, high quality, and patient-centered care. These shifts, though, often require substantial policy, structural, and operational changes at every level of service delivery. Fortunately, evidence is available to help program leaders and managers, health care system leaders, and policymakers design, implement, and evaluate new value-based payment approaches.