Redesigning provider payment: Opportunities and challenges from the Hawaii experience.
Healthc (Amst)
; 6(3): 168-174, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-30001958
ABSTRACT
OBJECTIVES:
To describe the process of developing a new physician payment system based on value and transitioning away from a fee-for-service payment system STUDYDESIGN:
Descriptive. This paper describes a recent initiative involving redesign of primary care provider payment in the State of Hawaii. While there has been extensive discussion about switching payment from volume to value in recent years, much of this change has happened at the organizational level and this initiative focused on changing the incentives for individual providers.METHODS:
Descriptive paper. In this paper we discuss the approach taken to shift incentives from fee-for-service towards value using behavioral economics as a conceptual framework for program design. We summarize the new payment system, challenges in its design, and our approach to piloting of different behavioral economic strategies to improve performance.RESULTS:
None.CONCLUSIONS:
This paper will provide useful guidance to health plans or health delivery systems considering shifting primary care payment away from fee-for-service towards value highlighting some of the design challenges and necessary compromises in implementing such a system at scale.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Mecanismo de Reembolso
/
Planos de Incentivos Médicos
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2018