RAND Health, a division of the not-for-profit RAND Corp., has released a report analyzing proposed models of payment reform and the current state of performance measurement. The nearly 300-page report was commissioned by the National Quality Forum.
Payment-reform models analyzed
“The goal of the project was to describe the performance measurement needs created by current and emerging payment reform approaches, to assess the suitability of existing performance measures to support these needs and to suggest near-term priority areas for performance measure development that would support these needs effectively going forward,” the authors wrote in the report.
The RAND report identified 90 payment reform programs that are either planned or currently in place in some capacity. They then classified those programs into 19 payment models, including global payment, medical home and accountable care organization shared savings.
The authors also pointed to several opportunities for new measure development and refinement in areas such as patient and caregiver engagement, health status, disparities, efficiency and safety.
“In an environment that emphasizes more value for every healthcare dollar, refinements in measurement are key to successful payment reform,” said Dr. Thomas Valuck, NQF's senior vice president of strategic partnerships. “These measures will be important in not only ensuring that payment rewards the right care, but also in preventing unintended consequences that could result from handpicking the healthiest patients to achieve a higher payment.”
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