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Healthcare Payment Models

Creative healthcare finance and making use of alternative payment models can lead to innovative healthcare payment solutions that drive value. How does your organization's revenue model stack up?

Leadership

From the Commonwealth to Obamacare: Reflections on 10+ Years of Expanding Health Insurance Coverage

The former Executive Director of the Commonwealth Health Insurance Connector — a model for the Affordable Care Act and other state marketplaces — reflects on what worked, what didn’t, and what could be done differently in both Massachusetts and at the federal level.

Top challenges facing chronic disease management care - insufficient time and care coordination

Care Redesign

Care Redesign Survey: To Improve Chronic Disease Care, Change the Payment Model

Many health care organizations are reasonably effective in treating chronic diseases, but they are limited from doing better by fee-for-service payment, which remains the predominant payment model in the United States. This report serves as a snapshot in time, showing the intent of health care providers to be proactive in treating chronic disease, but limitations in their ability to address population health.

Key Components for Health Care Systems to Address Patient Affordability

New Marketplace

The Next Frontier in Reducing Costs of Care: Patient Affordability

To create meaningful point-of-care guidance so that patients can make informed medical and financial decisions, health system leaders and policymakers can develop interventions to address four major components of a proposed patient affordability scale.

Private Sector Pitfalls in U.S. Health Care - Leemore Dafny Talk Still

New Marketplace

Private Sector Pitfalls in U.S. Health Care

Involving the private sector in Chinese health care could be beneficial, but a market only works with the right ingredients. An American health care economist shares lessons the U.S. has learned about its downsides.

Opelka01_pullquote - ACS IPU team-based surgical care bundles playbook

New Marketplace

Developing a Playbook for IPU-based Surgical Care and New Payment Models

The complexity associated with most surgery lends itself to the integrated practice unit structure, with its focus on the care team and value-based payment.

Screenshot from the NewYork Quality Care Chronic Condition Dashboard

Leadership

Success in a Hospital-Integrated Accountable Care Organization

How NewYork Quality Care achieved shared savings — by strengthening collaboration, enhancing care management with telehealth, and transparently sharing performance data.

Evolution of Health Care in China - Delivering Public Benefit at Enormous Scale - David Cook talk still

New Marketplace

China’s Health Care: Public Benefit, Enormous Scale

Though demand for health services in China has outpaced the development of management systems to provide those services, China has the goal, the means, and the commitment to change health care.

30-Day Mortality Rates at Non-Teaching and Major Teaching Hospitals 2013-2014 - value-based care at academic medical centers

New Marketplace

What Value-Based Payment Means for Academic Medical Centers

Academic medical centers must become as dedicated to advancing operational and clinical efficiency as they have been to advancing the science of medicine.

Medicare Compared to Private Spending Cumulative Growth 2009-2019 - traditional Medicare coverage

New Marketplace

Redesigning Medicare to Work for Everyone

A proposal to improve the Medicare benefit package.

Health Care Snapshot - Chinese Health Care and U.S. Health Care

New Marketplace

Perspective from the East: Health Care in China

Context is the key to understanding China’s health care system and its emphasis on population health.

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