title: Payment models to support population health management.
abstract: OBJECTIVE
  To survey the policy-driven financial controls currently being used to drive physician change in the care of populations.
  
  
  METHODS
  This paper offers a review of current health care payment models and discusses the impact of each on the potential success of PHM initiatives. We present the benefits of a multi-part model, combining visit-based fee-for-service reimbursement with a monthly "care coordination payment" and a performance-based payment system.
  
  
  RESULTS
  A multi-part model removes volume-based incentives and promotes efficiency. However, it is predicated on a pay-for-performance framework that requires standardized measurement. Application of this model is limited due to the current lack of standardized measurement of quality goals that are linked to payment incentives.
  
  
  CONCLUSIONS
  Financial models dictated by health system payers are inextricably linked to the organization and management of health care.
  
  
  CONCLUSIONS
  There is a need for better measurements and realistic targets as part of a comprehensive system of measurement assessment that focuses on practice redesign, with the goal of standardizing measurement of the structure and process of redesign. Payment reform is a necessary component of an accurate measure of the associations between practice transformation and outcomes important to both patients and society.
authors.forename: Timothy R
authors.initials: TR
authors.lastname: Huerta
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Hefner
authors.forename: Ann Scheck
authors.initials: AS
authors.lastname: McAlearney
mesh_terms: D017047:Cost Sharing; D018588:Fee-for-Service Plans; D006801:Humans; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration*; D010816:Physician Incentive Plans; D011445:Prospective Payment System; D012051:Reimbursement Mechanisms / Q000191:economics / Q000458:organization & administration*