National Payment Reform Summit Final Summary Report:
Accelerating the Implementation of Value-Based Care and Payment

Stakeholders who are working to develop Alternative Payment Models (APMs) are facing a number of significant barriers and challenges, and those who would implement APMs or receive care supported by them have expressed a number of serious concerns about the way APMs are currently being designed and about potential negative consequences poorly-constructed APMs may have on patients, providers, payers, and communities. Failing to address these problems in a proactive and effective way will slow progress in improving the quality and affordability of healthcare and make it difficult to build support for implementing more effective payment models.

To address these issues and formulate recommendations on how stakeholders might approach barriers in a collaborative way, more than 80 national and local health care leaders from 33 states convened in Washington D.C. in June for the 2016 National Payment Reform Summit.

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Read the full report here

The MACRA Playbook: National MACRA MIPS/APM Summit

November 30 – December 2, 2016
Washington, D.C.


NRHI is co-sponsoring this dynamic hybrid conference and internet event that offers content and tips for every stakeholder in healthcare.

Choices must be made about how to implement the provisions of MACRA, and these choices will have profound impacts on the future of healthcare. Although the provisions of MACRA are directed specifically at physicians, the incentives and accountability required under MACRA will affect every healthcare provider— hospitals, nursing homes, home health agencies, etc.—and it will affect health plans and employers that contract with physicians.

The MACRA Summit seeks to provide deep insights into the choices under MACRA and their implications, and it will feature many examples of innovative approaches to healthcare payment and delivery that can help achieve the goals of MACRA.

Join us at the Hyatt Regency on Capitol Hill, Washington, D.C. For more information visit and to register click As an NRHI Member, enter the discount code “NRHI” and participate at the reduced rate of $995 to attend onsite and $595 to attend online (via live and archived for 6 month video Internet Broadcast).

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Our Mission

The Mission of the Network for Regional Healthcare Improvement is to improve health and healthcare in communities across the U.S. through the active and engaged network of our member Regional Health Improvement Collaboratives.

Regional Health Improvement Collaborative

The Network for Regional Healthcare Improvement (NRHI) is a national organization of more than thirty-five member regional health improvement collaboratives (RHICs) across the United States. These multi-stakeholder organizations are working in their regions and collaborating across regions to transform the healthcare delivery system to improve the patient experience of care, including quality and satisfaction; improve the health of populations; and reduce the per-capita cost of healthcare.



What is NRHI?
The Network for Regional Healthcare Improvement


NRHI Knows MACRA represents our commitment to the stakeholders and communities we represent. As MACRA implementation moves forward, we remain committed to providing the most relevant, most comprehensive – and above all else, most objective information available on the Law, the Rules, and their effects on healthcare stakeholders and the broader healthcare community.

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Delivery System Reform: Paying for What Works
U.S. Department of Health and Human Services

Our Members

  • Aligning Forces for Quality
  • Better Health Partnership
  • CIVHC Center for Improving Value in Health Care
  • Finger Lakes Health Systems Agency
  • Healthcare Collaborative of Greater Columbus
  • ICSI Institute for Clinical Systems Improvement
  • Integrated Healthcare Association
  • Louisiana Health Care Quality Forum
  • Maine Health Management Coalition
  • Maine Quality Counts
  • Massachusetts Health Quality Partners
  • Midwest Health Initiative
  • Minnesota Community Measurement
  • Oregon Health Care Quality Corporation
  • Pacific Business Group on Health
  • Pittsburgh Regional Health Initiative
  • The Health Collaborative
  • Washington Health Alliance
  • Wisconsin Collaborative for Healthcare Qualilty