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July/August 2014 St@teside

New Issue Brief: Potential Strategies to Implement Successful Payment Reforms

In February 2014, Robert Wood Johnson Foundation payment reform grantees met with experts from across the country to explore innovative activities that are supporting new payment models in their drive to improve care quality and reduce health care costs. Over the course of the meeting, invited faculty detailed implementation innovations and the factors supporting their successes. This brief summarizes the selected innovations presented during the meeting, draws lessons from providers and insurers on the ground, and identifies characteristics that position organizations for success in these efforts.

The innovations described in the brief include:

  • experimenting with target population identification for care management;
  • applying a laser focus on target population needs and creative care management responses;
  • understanding costs in order to improve efficiency; and
  • supporting providers with information and consultation.

Companion webinars, posted to the AcademyHealth website, provide additional details about the organizations highlighted in the brief. The webinar series and brief examine the integral connection between payment and delivery system reform by looking at on-the-ground approaches for transforming systems through innovative models of care management, clinical infrastructure redesign, and data sharing.