Advances in Multi-Payer Alignment: State Approaches to Aligning Performance Metrics across Public and Private Payers

Across the nation, public and private payers are combining forces to encourage providers in a given health care market to deliver more efficient, higher quality care. Payers can align on several fronts, including payment policies, quality measurement, administrative practices, and data-sharing. Drawing from the efforts of three state innovators (Maine, Vermont, and Wisconsin), this white paper outlines promising strategies for quality measurement alignment across purchasers as a means to improving delivery system performance. The lessons can inform Medicaid and private purchasers in advancing a joint quality strategy.