Implementing Value-Based Payment Reform: A Conceptual Framework and Case Examples.
Med Care Res Rev
; 73(4): 437-57, 2016 08.
Article
in En
| MEDLINE
| ID: mdl-26545852
ABSTRACT
This article develops a conceptual framework for implementation of value-based payment (VBP) reform and then draws on that framework to systematically examine six distinct multi-stakeholder coalition VBP initiatives in three different regions of the United States. The VBP initiatives deploy the following payment models reference pricing, "shadow" primary care capitation, bundled payment, pay for performance, shared savings within accountable care organizations, and global payment. The conceptual framework synthesizes prior models of VBP implementation. It describes how context, project objectives, payment and care delivery strategies, and the barriers and facilitators to translating strategy into implementation affect VBP implementation and value for patients. We next apply the framework to six case examples of implementation, and conclude by discussing the implications of the case examples and the conceptual framework for future practice and research.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Health Care Reform
/
Value-Based Purchasing
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Med Care Res Rev
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
Year:
2016
Document type:
Article
Affiliation country:
United States