Payment Reform

Self-insured employer participation in multi-payer payment reform is critical for providers to receive consistent messages across payers—an important step toward fostering widespread improvement. A recent study echoes the experience of many state-led multi-payer initiatives experiencing difficulty in engaging self-insured employers. This study looked at reforms in four states: Arkansas, Oregon, Minnesota, Vermont. Only two, Arkansas […]

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  • State Health Policy Blog

    Vermont Takes Next Step in Global Budgeting: Releases All-Payer Model

    We recently published a brief on efforts underway in Maryland, Massachusetts, and Vermont to develop and implement global budgeting. Last week, Vermont took the next step, releasing an overview of its proposal to the Centers for Medicare & Medicaid Services (CMS) for an all-payer model. Vermont’s approach distinguishes itself by setting spending targets for almost […]

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    February 2, 2016 | Filed under: Front Page, Payment Reform, State Health Policy Blog, Vermont

  • Publications

    Addressing and Reducing Health Care Costs in States: Global Budgeting Initiatives in Maryland, Massachusetts, and Vermont

    In the five years since the passage of the Affordable Care Act (ACA), 17 states and the District of Columbia have created health insurance exchanges and 30 states and the District have expanded their Medicaid programs to cover low-income populations.  More than 16 million people are newly insured under the law. In addition to expanding health coverage, […]

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  • State Health Policy Blog

    Conducting the Orchestra of Multi-Payer Payment Reform: Achieving Harmony in Arkansas and Vermont

    Imagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without working together, cacophony abounds. Enter the state as conductor and participant in aligned multi-payer payment reform, and sweet sounds emerge. If it only happened […]

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    May 20, 2015 | Filed under: Payment Reform, State Health Policy Blog

  • State Health Policy Blog

    Don’t Take Your Eyes Off Vermont:
    Gobeille v. Liberty Mutual Insurance Company

    Okay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]

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  • Payment Reform

    Many states are developing and implementing payment reform initiatives to help improve the patient experience and the health of populations while lowering the costs of care.  Payment reform efforts involve a transition away from fee-for-service (FFS) payment mechanisms that reward high volume to alternative payment methods that reward value. Such payment models include shared savings, […]

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    March 5, 2015 | Filed under: Payment Reform

  • Webinars

    The Promise and Pitfalls of State-Based Payment Reform

    Friday, February 27, 2015: Many states across the nation are in the process of designing and implementing multi-payer payment reform initiatives. The goals of these initiatives are to improve patient experience, improve the health of populations, and reduce health care costs. This webinar addresses how current payment reform models can help fix our broken health care delivery system and assist states to achieve the Triple Aim. However, along the payment transformation journey, are there potential pitfalls of payment reform models that states should look out for and avoid?

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    February 3, 2015 | Filed under: Payment Reform, Webinars

  • State Health Policy Blog

    State Strategies for Improving Maternal and Infant Care

    Low birth weight and preterm birth carry substantial human and financial costs; they also are associated with health problems that can have long-lasting effects. Renewed state and national commitment to improving birth outcomes and the quality of maternal and infant care are evident in states across the country as well in federal initiatives such as […]

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  • Webinars

    Sustaining Momentum in Multi-Payer Payment Reform: Transitioning from Design to Implementation

    Tuesday, July 29, 2014: This webinar explores the leap from health system transformation planning to practice by showcasing four leading states that are designing and implementing multi-payer payment reforms. Through a facilitated discussion, state officials discuss policy levers to shift payment systems away from fee-for-service, offer strategies for sustaining stakeholder momentum and commitment, and share perspectives on promising practices for and operational challenges of turning a plan for multi-payer payment reform into reality.

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    July 15, 2014 | Filed under: Payment Reform, Webinars

  • Publications

    Quality Measurement to Support Value-Based Purchasing: Aligning Federal and State Efforts

    Public payers are moving to implement payment strategies that reward value in the health care system by linking payment to quality. This report—the third in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights quality measurement strategies underpinning value-based purchasing initiatives at the federal and state […]

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