Care Redesign 2016
Talk
CMS Leader on New Payment Models (08:16)

The U.S. fee-for-service system is broken, says Patrick Conway, Deputy Administrator and Chief Medical Officer for the Centers for Medicare and Medicaid Services (CMS). How can health care leaders change that payment model? Conway discusses CMS initiatives focused on improving care quality and affordability, specifically through alternative payment models and partnerships with clinicians and provider organizations. “If we get the payment model right . . . . We get the outcomes we want out of our system,” says Conway. “We [CMS] are going to have to continue to learn from providers. I guarantee we’ll adjust along the way.”

From the NEJM Catalyst event Care Redesign: Creating the Future of Care Delivery at Kaiser Permanente Center for Total Health, September 30, 2015.

More From Care Redesign 2016

Poor Care Is the Root of Physician Disengagement

When physicians and health care executives disagree over the purpose of medicine, disengagement is the inevitable result.

Population Health: The Ghost Aim

We are finally at a moment in the history of health care when we know what to do to achieve better health, who should do it, and how to get it done.

Health Reform and the Changing Safety Net in the United States

How the coverage provisions of the ACA are affecting safety-net health systems, responses of these systems to payment reform, and future directions in scaling up improvements and innovation in delivery systems.

The MACRA Final Rule: Five Crucial Questions Asked and Answered

MACRA could be bigger than Obamacare for physicians, yet many “barely know anything about it.”

Rethinking the Primary Care Workforce — An Expanded Role for Nurses

In the primary care practice of the future, the physician’s role will increasingly be played by nurse practitioners.

Survey Snapshot: How to Achieve Post-Acute Care Coordination

Commentary from NEJM Catalyst Insights Council members on preferred post-acute networks and the importance of communication.

A Memo to the Brilliant

Top-down regulation of physicians may have been a factor in Democrats’ defeat. Blind commitment to specific models of payment reform has put much into jeopardy, unnecessarily.

Care Redesign Survey: Strengthening the Post-Acute Care Connection

Ties between health systems and post-acute care facilities are on the rise, but much work remains to truly coordinate care.

The Hard Work of Health Care Transformation

Experience shows that although a changed market may be a helpful precondition to local performance improvement, it hardly guarantees effective operational change.

Creating the Optimized Surgical Journey

Results from the implementation of an enhanced recovery pathway (an “Optimized Surgical Journey”) for patients undergoing cystectomy at MD Anderson Cancer Center.

Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

Topics

Controlling the Cost of Medicaid

Both political parties should support policies that focus on incentives as a mechanism for improving…

Coordinated Care

90 Articles

Data Graphic: Real-Time Communication Is Key…

The NEJM Catalyst Insights Council weighs in on the best opportunities for post-acute care transitions.

Primary Care

117 Articles

Merging Mental and Physical Health Care

How can we better integrate mental and physical health services?

Insights Council

Have a voice. Join other health care leaders effecting change, shaping tomorrow.

Apply Now