Making Multipayer Reform Work: What Can Be Learned From Medical Home Initiatives

april2015-health-affairs-coverMedical home initiatives across the United States are demonstrating that multipayer reform, although complex and difficult to implement, is feasible when committed stakeholders negotiate strategies that are responsive to the local context. Seventeen multipayer medical home initiatives launched between 2008 and 2014 all navigated four critical decision-making points germane to any multipayer payment model: convening stakeholders; establishing provider participation criteria; determining payment; and measuring performance. The NASHP medical home team explores in the April issue of Health Affairs the lessons learned from these experiences. Heeding these lessons will help inform those leading multipayer efforts “to better anticipate and navigate known obstacles and improve their chances for successful implementation.”

The full article is available on the Health Affairs web site.

Support for this paper was provided by The Commonwealth Fund.