title: A report on eight early-stage state and regional projects testing value-based payment.
abstract: To help contain health care spending and improve the quality of care, practitioners and policy makers are trying to move away from fee-for-service toward value-based payment, which links providers' reimbursement to the value, rather than the volume, of services delivered. With funding from the Robert Wood Johnson Foundation, eight grantees across the country are designing and implementing value-based payment reform projects. For example, in Salem, Oregon, the Physicians Choice Foundation is testing "Program Oriented Payments," which include incentives for providers who follow a condition-specific program of care designed to meet goals set jointly by patient and provider. In this article we describe the funding rationale and the specific objectives, strategies, progress, and early stages of implementation of the eight projects. We also share some early lessons and identify prerequisites for success, such as ensuring that providers have broad and timely access to data so they can meet patients' needs in cost-effective ways.
authors: Center for Health Management Research, University of Washington, Seattle, WA, USA. dconrad@uw.edu
authors: Douglas
authors: D
authors: Conrad
authors: David
authors: D
authors: Grembowski
authors: Claire
authors: C
authors: Gibbons
authors: Miriam
authors: M
authors: Marcus-Smith
authors: Susan E
authors: SE
authors: Hernandez
authors: Judy
authors: J
authors: Chang
authors: Anne
authors: A
authors: Renz
authors: Bernard
authors: B
authors: Lau
authors: Erin
authors: E
authors: dela Cruz
mesh_terms: D003363:Cost Control / Q000379:methods; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration; D005381:Financing, Organized; D005582:Foundations; D018166:Health Care Reform / Q000458:organization & administration; D006801:Humans; D010865:Pilot Projects; D058996:Quality Improvement / Q000458:organization & administration; D012051:Reimbursement Mechanisms / Q000458:organization & administration; D014481:United States; D062505:Value-Based Purchasing / Q000458:organization & administration
keywords: Health Reform; Organization And Delivery Of Care; Physician Payment; State/Local Issues
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