Resources
Peer-Reviewed Articles
Implementing Value-Based Payment Reform: A Conceptual Framework and Case Examples
Douglas A. Conrad, Matthew Vaughn, David Grembowski, and Miriam Marcus-Smith
Designing Smarter Pay-for-Performance Programs
Aaron McKethan, Ashish K. Jha
Emerging Lessons from Regional and State Innovation in Value-Based Payment Reform: Balancing Collaboration and Disruptive Innovation
Douglas A. Conrad, David Grembowski, Susan E. Hernandez, Bernard Lau, and Miriam Marcus-Smith
The failure of financial incentive? The seemingly inexorable rise of cesarean section.
Chin-Shyan Chen, Tsai-Ching Liu, Bradley Chen, and Chung-Liang Lin
A Conceptual Model of the Role of Complexity in the Care of Patients with Multiple Chronic Conditions.
David Grembowski, Judith Schaefer, Karin Johnson, Henry Fischer, Susan Moore, Ming Tai-Seale, Richard Ricciardi, James Fraser, Donald Miller, and Lisa LeRoy.
Advances in Multi-Payer Alignment: State Approaches to Aligning Performance Metrics across Public and Private Payers.
Tricia McGinness and Jessica Newman
Reliable in their failure: An analysis of healthcare reform policies in public systems.
Damien Contandriopoulos and Astrid Brousselle
The PROMETHEUS Bundled Payment Experiment: Slow Start Shows Problems In Implementing New Payment Models
Peter S. Hussey, M. Susan Ridgely, and Meredith B. Rosenthal
Value-Based Purchasing: The Evidence
Gloria N. Eldridge and Holly Korda
Payment Incentives and Integrated Care Delivery: Levers for Health System Reform and Cost Containment
Holly Korda and Gloria N. Eldridge
Pay-for-performance in disease management: a systematic review of the literature
Simone R. de Bruin, Caroline A. Baan, and Jeroen N. Struijs
Systematic review: Effects, design choices, and context of pay-for-performance in health care
Pieter Van Herck, Delphine De Smedt, Lieven Annemans, Roy Remmen, Meredith B. Rosenthal, and Walter Sermeus
The effect of financial incentives on the quality of health care provided by primary care physicians
Anthony Scott, Peter Sivey, Driss Ait Ouakrim, Lisa Willenberg, Lucio Naccarella, John Furler, and Doris Young
Payment Reform
Irene Fraser, William Encinosa, and Laurence Baker
Reforming Payments to Healthcare Providers: The Key to Slowing Healthcare Cost Growth While Improving Quality?
Mark McClellan
Health Care Spending and Quality in Year 1 of the Alternative Quality Contract
Zirui Song, Dana Gelb Safran, Bruce E. Landon, Yulei He, Randall P. Ellis, Robert E. Mechanic, Matthew P. Day, and Michael E. Chernew
Effect of financial incentives on incentivised and non-incentivised clinical activities: longitudinal analysis of data from the UK Quality and Outcomes Framework
Tim Doran, Evangelos Kontopantelis, Jose M. Valderas, Stephen Campbell, Martin Roland, Chris Salisbury, and David Reeves
Implementing Accountable Care Organizations: Ten Potential Mistakes and How to Learn From Them
Sara Singer and Stephen M. Shortell
Patient-centered medical home cost reductions limited to complex patients
Thomas Flottemesch, Louise Anderson, Leif Solberg, Patricia Fontaine, and
Stephen Asch
Emergency Department Visits for Nonurgent Conditions: Systematic Literature Review
Lori Uscher-Pines, Jesse Pines, Arthur Kellermann, Emily Gillen, and Ateev Mehrotra
The Oregon ACO Experiment - Bold Design, Challenging Execution
Eric C. Stecker
News and Other Articles
Editorial: Patient-Centered Medical Home for High-Risk Children with Chronic Illness
James M. Perrin, MD
A Burning Platform and Trust: Key Ingredients for Payment Reform
Bailit Health Purchasing LLC
Making the Business Case for Payment and Delivery Reform
Harold D. Miller
First Steps in Engaging Employers in Innovative Strategies: Lessons from Wisconsin
American Institutes for Research
Measuring and Assigning Accountability for Healthcare Spending: Executive Summary
Center for Healthcare Qualty and Payment Reform
Integrating Physical and Behavior Health: Strategies for Overcoming Legal Barriers to Health Information Exchange
Manatt Health Solutions
Bundled Payments: Toward A Challenging Yet Better Place
Michael Painter
Bundled Payment Across the U.S. Today: Status of Implementations and Operational Findings
Michael W. Painter, Megan E. Burns, and Michael H. Bailit
Reform in Action: Can Implementing Patient-Centered Medical Homes Improve Health Care Quality?
Robert Wood Johnson Foundation
Promising Payment Reform: Risk-Sharing with Accountable Care Organizations
Suzanne F. Delbanco, Kristine Martin Anderson, Catherine Eikel Major, Mary Beth Kiser, and Brynnan Wammack Toner
Key Design Elements of Shared-Savings Payment Arrangements
Michael Bailit and Christine Hughes
Transitioning to Accountable Care: Incremental Payment Reforms to Support Higher Quality, More Affordable Health Care
Harold D. Miller
Payment Reform: Analysis of Models and Performance Measurement Implications
Eric C. Schneider, Peter S. Hussey, and Christopher Schnyer
New payment models could rein in healthcare costs
Dina Overland
Medicare Physician Payment: It's Time for Real Reform
Stuart Guterman
Regional Health Improvement Collaboratives: Essential Elements for Successful Healthcare Reform
Jewish Healthcare Foundation
ACOs: Making Sure We Learn from Experience
Elliott Fisher and Stephen Shortell
Consumers' and Providers' Responses to Public Cost Reports, and How to Raise the Likelihood of Achieving Desired Results
Ateev Mehrotra, Peter S. Hussey, Arnold Milstein, and Judith Hibbard
Off the Hamster Wheel? Qualitative Evaluation of a Payment-Linked Patient-Centered Medical Home (PCMH) Pilot
Asaf Bitton, Gregory R. Schwartz, Elizabeth E. Stewart, Daniel E. Henderson, Carol A. Keohane, David W. Bates, and Gordon D. Schiff
Other Resources
All Aboard: Engaging Self-Insured Employers in Multi-Payer Reform
Kristof Stremikis
California Maternal Quality Care Collaborative
Transforming Maternity Care: A Bundled Payment Approach
Sarah Lally
Summary of Act 48 (2011) of the Vermont Legislature
Facilitators and Barriers to Payment Reform: Market-based, governmental, organizational, and design considerations.
Bailit Health Purchasing, LLC.
State Policies on Provider Market Power
Suzanne Delbanco and Shaudi Shabbaz
Aligning Payers and Practices to Transform Primary Care: A Report from the Multi-State Collaborative
The Milbank Memorial Fund
The Innovation Center Webinar: Testing Reforms with Rigor and Speed
The Commonwealth Fund and AcademyHealth
Using Comparative Effectiveness Research to Pay Equally for Equivalent Outcomes: An Evaluation of a Multi-Stakeholder Effort Focused on Prostate Cancer Treatments
Institute for Clinical and Economic Review