[EQ] From Volume to Value: Transforming Health Care Payment and Delivery Systems

From Volume to Value: Transforming Health Care Payment and Delivery Systems

 

The Network for Regional Healthcare Improvement (NRHI)
Health Care Payment Reform Series, funded by the Robert Wood Johnson Foundation, 2008

A new report shows how to reform the expensive and dangerous way we pay for health care.

Full text available online [53p.] at: http://www.rwjf.org/files/research/nrhiseries1rpt.pdf

Summary PDF [6p.] at: http://www.rwjf.org/files/research/nrhiseries1exsum.pdf

 

“….November 17, 2008   A major cause of the quality and cost problems in U.S. health care today is attributed to the current payment system built to reward the quantity of treatment, not the quality of care. The Network for Regional Healthcare Improvement (NRHI) urges solutions that could save billions of dollars and make expanding health insurance to the uninsured more affordable in their new report, From Volume to Value: Transforming Health Care Payment and Delivery Systems to Improve Quality and Reduce Costs.

 

From Volume to Value addresses a number of important issues and a variety of challenges to overcome in order to move the proposed improvements from concept to reality….”

 

 

Content:

EXECUTIVE SUMMARY

I.    Introduction: Moving From Volume to Value

II.   Organizational Structures Needed to Support Fundamental Payment Reforms

A. Payment Systems and Organizational Structures Needed to Improve Primary Care

B. Provider Organizational Structures Needed to Manage Bundled Payments and Warranties in Major Acute Episodes .

III.   Encouraging Use of Higher-Value Providers and Services .

IV.  Protecting Patients in New Payment Systems .

V.   Piloting New Payment Systems

VI.  Encouraging Payers and Providers to Support New Payment Systems

VII .Community-Wide Structures to Support Payment Reform

VIII Supporting Regional and State Payment Reform Efforts

IX.  Conclusion: Moving From Concept to Reality

 

 

 

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