title: Payment reform: complexities to consider.
abstract: Providers and payers should take the following actions to prepare for imminent payment reforms from CMS and commercial payers: Adopt industry standard value-based pricing principles. Identify variations in costs, reimbursement rates, and payment terms within your managed care contracts and day-to-day operations. Establish core, evidence-based costs and payments to cover those core, evidence-based costs. Adopt new delivery tactics to manage a sustainable margin on lower unit reimbursement increases.
authors.affiliation: Navigant Consulting, Inc., Chicago, USA. mnugent@navigantconsulting.com
authors.forename: Michael E
authors.initials: ME
authors.lastname: Nugent
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S. / Q000191:economics*; D004469:Economics, Hospital / Q000458:organization & administration*; D018166:Health Care Reform; D007349:Insurance, Health, Reimbursement / Q000191:economics; D014481:United States