Developing Alternative Payment Models: Key Considerations and Lessons Learned from Years of Collaboration with CMS
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PRINCETON, NJ ANN ARBOR, MI CAMBRIDGE, MA CHICAGO, IL OAKLAND, CA WASHINGTON, DC Controlling health care’s rising cost, while simultaneously expanding its availability and quality, is a top priority for policymakers at all levels of government. Increasingly, both private and public payers are experimenting with alternative payment models designed to improve care and slow spending. The U.S. Department of Health and Human Services (HHS), for example, recently announced measurable goals and a timeline to move the Medicare program, and the health care system at large, toward paying providers based on the quality, rather than the quantity, of care they give patients. As well, the Centers for Medicare & Medicaid Services (CMS) has invested significant resources to move away from traditional fee-for-service (FFS) payment models to models that reward efficient, high quality, and patient-centered care. Mary Laschober, Eugene Rich, Timothy Lake, Angela Merrill, and Candace Natoli
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