Payment Reform

Many states are developing and implementing payment reform initiatives to help improve the patient experience and the health of populations while lowering the costs of care.  Payment reform efforts involve a transition away from fee-for-service (FFS) payment mechanisms that reward high volume to alternative payment methods that reward value. Such payment models include shared savings, bundled payments, pay-for-performance, and total cost of care budgets.

Through research, technical assistance, and peer-learning networks, NASHP supports states that are implementing such payment reform models among their Medicaid and State Employee populations as well as states that are partnering with commercial insurers to design multi-payer initiatives.

The resources available in the Payment Reform topic include numerous issue briefs, blogs, webinar recordings, and maps.  These materials focus on a range of subjects from State accountable care activity to selecting quality metrics for multi-payer reform initiatives. The resources often identify best practices in designing and implementing payment reform efforts as well as barriers and solutions to overcome challenges.