title: Foundational Changes Critical to Payments for Radiology Services.
abstract: In early 2015, Sylvia Burwell, Secretary of the Department of Health and Human Services, described the federal administration's goals for delivery of health care in the United States. Prominently featured was a conversion from volume to value through the incorporation of Alternative Payment Models. The Department of Health and Human Services laid the framework, but recognized significant knowledge gaps in how providers and institutions would develop Alternative Payment Models. To that end, the Health Care Payment Learning and Action Network was conceived. On March 25, 2015, the Health Care Payment Learning and Action Network held its first meeting, which included a broad swath of industry participants. This collaboration was considered mission critical to achieving success in the goals of advancing Alternative Payment Models. This article highlights the Health Care Payment Learning and Action Network and the framework it is proposing for Alternative Payment Models that would have meaningful implications for radiologists.
authors.affiliation: Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Hirsch
authors.affiliation: Department of Radiology, NYU Langone Medical Center, New York, New York. Electronic address: Andrew.Rosenkrantz@nyumc.org.
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Rosenkrantz
authors.affiliation: Department of Radiology, Grandview Medical Center, Birmingham, Alabama.
authors.forename: Bibb
authors.initials: B
authors.lastname: Allen
authors.affiliation: Pain Management Center of Paducah, Paducah, Kentucky.
authors.forename: Laxmaiah
authors.initials: L
authors.lastname: Manchikanti
authors.affiliation: Hackensack Radiology Group, P.A., River Edge, New Jersey.
authors.forename: Gregory N
authors.initials: GN
authors.lastname: Nicola
mesh_terms: D026683:Advisory Committees / Q000458:organization & administration; D032921:Consensus; D006801:Humans; D011871:Radiology / Q000191:economics*; D012051:Reimbursement Mechanisms / Q000458:organization & administration*; D014481:United States; D014483:United States Dept. of Health and Human Services
keywords: Alternative Payment Models; Health policy; fee-for-service; population health; radiology practice