Striving toward a culture of health: how do care and costs for non-medical needs get factored into alternative payment models? : workshop summary & lessons learned
- Collection:
- Health Policy and Services Research
- Contributor(s):
- AcademyHealth, issuing body. Network for Regional Healthcare Improvement, issuing body. Robert Wood Johnson Foundation, issuing body.
- Publication:
- [Washington, D.C.] : AcademyHealth, [2017?]
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Services Health Care Reform Insurance, Health, Reimbursement Intersectoral Collaboration Social Determinants of Health Value-Based Purchasing Community Health Planning Population Health Quality of Health Care Reimbursement Mechanisms Humans United States
- Genre(s):
- Technical Report
- Abstract:
- In a time of significant health care transformation, many health insurers and health care providers are moving toward payment models based on the quality of care delivered in an effort to attain the Triple Aim of better care, smarter spending, and healthier people. Right now, most of these value-based payment models focus on clinical services and, more specifically, the needs and outcomes of a health care provider's patient panel, a health plan's enrollees, or the purchaser's employee subscribers. Still other payment models focus on a targeted sub-population of individuals with a defined chronic clinical condition, such as patients with diabetes or depression. As such, payment and financing models are not yet adequately supporting community-wide, geographically-based, population health (see side box). The incentives in these models do not yet reward health care providers for creating healthy communities, nor do they incentivize other sectors--e.g., transportation, housing, education--contributing to population health improvements. As health care organizations continue to move along the continuum of paying for value, not volume, a pressing question is: how might the cost of non-medical support services be factored into alternative payment models to advance population health? How might those non-medical support services impact the overall quality and cost of health in communities? And what are the barriers to progress facing communities? With support from the Robert Wood Johnson Foundation, AcademyHealth's Payment Reform for Population Health (P4PH) initiative aims to develop a comprehensive understanding of current efforts and successes related to payment reform activities that support community-wide population health improvement. To inform this effort, AcademyHealth collaborated with the Network for Regional Healthcare Improvement (NRHI) to explore challenges and successes related to how health care purchasers, plans, and providers could support strategies for sustainable investment in non-clinical community-wide population health activities. On January 26-27, 2017, AcademyHealth and NRHI hosted a two-day, highly interactive workshop called "Striving Toward a Culture of Health: How Does Care and Costs for Non-Medical Needs Get Factored into Alternative Payment Models?" This workshop convened five multi-sector teams led by regional health improvement collaboratives (RHICs) to foster shared learning with each other as well as content experts to inform next steps in their own specific community-based collaborative projects. The workshop focused on four key topic areas and the related barriers that potentially influence the conditions and collaborations necessary to support non-clinical community-wide population health services. This report reflects the discussions had by participants, their shared experiences with the topics and with each other, and the common barriers and facilitators identified in pursuing collaborative community-based population health interventions.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (17 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101730715 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101730715