The MACRA Playbook: Kentucky

How is MACRA playing out in regions throughout the country? And what emerging practices might be applicable to your community? 

NRHI has launched The MACRA Playbook in partnership with its regional collaboratives. Our first event was the Peer-to-Peer MACRA meeting in DC on July 12, which produced pragmatic insights from four key stakeholder perspectives: employers, providers, patients and payers.

Our next big event – The MACRA Playbook: Kentucky – is in Louisville on September 1. Kentuckiana Health Collaborative is convening employers, providers, plans and consumers to discuss MACRA within a regional lens. Elizabeth Mitchell (NRHI), Sanne Magnan (formerly with ICSI) and Dr. Mai Pham (CMS) will speak at the event. For information about how to join us, visit

We’ll keep you posted as in-person and virtual events continue to roll out. Need more information? Contact Dianne Hasselman at

MACRA Peer to Peer Seminar

“MACRA may be more significant than the ACA in terms of its impact on our communities.”
~ Elizabeth Mitchell, NRHI President and CEO

To better inform regional health improvement collaboratives (RHICs) about MACRA and to explore how RHICs can support multi-stakeholders in this new environment of greater accountability for quality and cost, NRHI brought together local healthcare leaders from communities in Ohio, Maine, Minnesota, Nevada, Kentucky, California, Pennsylvania, Louisiana, Hawaii, Utah, Wisconsin, Oregon, Missouri, Colorado, Michigan, and New Mexico for this Peer-to-Peer event.

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Key High-Level MACRA Questions to Ask Your Community or Organization

MACRA Emerging Practices

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


Holy MACRA! Half of docs have never heard of Medicare payment reform

Read the original article written by Dave Barkholz for Modern Healthcare, Vital Signs Blog here. Half of non-pediatric physicians have never heard of the Medicare Access and CHIP Reauthorization Act of 2015—a new CMS payment plan that will put 4% or more of their…

Practice Transformation Networks – Moving MACRA forward.

Regional Insights: Lisa Letourneau Lisa Letourneau (MD, MPH) is the Executive Director for Maine Quality Counts, a Regional Health Improvement Collaborative (RHIC). Lisa also leads the Northern New England Practice Transformation Network, supporting more than 1,100 clinicians in Maine, New…

Press Release: National Health Care Summit Produces Recommendations Successful Payment Reform

Washington, D.C. – On June 17, the Network for Regional Healthcare Improvement (NRHI) and the Center for Healthcare Quality and Payment Reform (CHQPR) brought together 100 senior healthcare leaders from across the country to discuss eight barriers to successful health…

PRESS RELEASE: National Employer Leadership Seminar Held in Charlotte

Portland, Maine – Employers from across the nation gathered in Charlotte, North Carolina, to discuss strategies for leveraging regional data and partnerships to obtain higher quality, affordable healthcare during the Network for Regional Healthcare Improvement’s (NRHI) National Employer Leadership Seminar…

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