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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?

Primary Care ACO Models - Way of the Future? Panel Clip Still

New Marketplace

Primary Care ACO Models: Way of the Future?

Evidence shows that primary care–led, risk-bearing, ACO-like practices and independent physician group models generate more savings.

Lack of Incentive Is Top Barrier to Implementing Value-Based Payment

New Marketplace

Survey Snapshot: Payer-Provider Alignment Is Difficult Even for Integrated Organizations

NEJM Catalyst Insights Council members say stronger incentives and better use of analytics could improve alignment.

Kaplan04_pullquote Time to Sink Two Canoe Payment Models Argument

New Marketplace

Time to Sink the Two-Canoe Argument

Although the transition from fee-for-service to quality-based payment can leave physicians feeling trapped “with a foot in two canoes” while straddling the two payment methods, there are compelling ethical, professional, and business reasons against rationalizing continued support of fee-for-service medicine.

Do Drug Market Exclusivity Periods Help or Harm?

New Marketplace

Drug Market Exclusivity Periods: Helpful/Harmful?

What impact do market exclusivity periods have on the cost of drugs and on incentives for innovation?

Nash01_pullquote - A Requiem for Value-Based Care Population Health.

Patient Engagement

A Requiem for Population Health?

Despite some fits and starts for value-based care, there is abundant evidence that the concept will continue to survive and thrive.

How Do You Define a Drug’s Value and Is Value-Based Contracting Reasonable - Panel Clip Still (1)

New Marketplace

How Do You Define a Drug’s Value?

Is it always a multiple of years of life saved? And is value-based contracting a reasonable approach to reining in prices?

Much Ado About Nothing Over Healthcare Payment Reform Panel Clip Still

New Marketplace

Much Ado About Nothing Over Payment Reform?

Are we too concerned about payment reform? Should we let the system play its course, or should we give it subtle nudges?

Physician Group Practices BPCI Classic Success and Looking Ahead to BPCI Advanced Bundled Payments

New Marketplace

Physician Group Practices: Succeeding in Bundled Payments

Physician groups are demonstrating their ability to deliver care in new and innovative ways as part of the nationwide effort to transform health care delivery through value-based payment models. The physician experience and perspective is invaluable and should remain an important component of any shift to value-based care.

How Aligned Are Payers and Providers in Working Together to Achieve Value-Based Care

New Marketplace

New Marketplace Survey: Payers and Providers Remain Far Apart

Health care stakeholders are not aligned in important goals and in large part are not working together to achieve value-based care, according to the NEJM Catalyst Insights Council. They are waiting on government regulators to change the payment model — including, possibly, single-payer health care.

Figure 1 - Preparing New Generation of Physicians - Percent of Physicians in Small and Large Group Practices by Year of Graduation

Leadership

Preparing a New Generation of Physicians for a New Kind of Health Care

Medical schools and policymakers have crucial roles in shaping the clinician workforce.

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