On Friday, June 17, with support from the Robert Wood Johnson Foundation, the Network for Regional Healthcare Improvement (NRHI) and the Center for Healthcare Quality and Payment Reform will host 100 senior health care leaders from across the country for a special summit on payment reform. The group is comprised of representatives from key stakeholder groups – providers, patients/health care consumers, payers and purchasers. The meeting will convene eight multi-stakeholder work groups to tackle eight key issues related to payment reform which are listed below. The group will reconvene to present and discuss their recommendations at the end of the meeting. NRHI will live stream the final session so you can hear the discussion/recommendations and provide your feedback. The live stream will be held from 2:30-4:30 p.m. EST. Click here to join the discussion on June 17.
• How can payment systems be designed to support coordinated team-based approaches to care involving multiple specialties and multiple types of providers? How should individual physicians and other providers be compensated inside bundled payment, episode payment, and global payment models?
• How should health care payment systems be designed to support efforts to prevent disease, slow the progression of disease, and encourage healthy lifestyles that achieve results in future years?
• What changes in patient benefit designs are needed to support successful payment reform? What incentives or requirements should there be for patients to use specific teams or networks of providers? Should providers be able to set or modify patient cost-sharing requirements to support the services or behaviors they are trying to encourage?
• What mechanisms should be used in payment systems to protect healthcare providers from excessive financial risk? What mechanisms should be used to protect high-need patients from under-treatment and loss of access to care? Are special mechanisms or exemptions needed for small physician practices and hospitals or for providers located in rural areas?
• How should payment systems be structured to support adequate and appropriate care for patients facing non-medical challenges (e.g., low income, homelessness, functional limitations, etc.) as well as health problems? Should different payment systems be used for safety net providers than for other providers?
• How should payment systems be structured to provide adequate support for hospitals’ standby services and medical education costs while encouraging fewer hospitalizations and fewer hospital-based services?
• What temporary modifications, if any, are needed in payment structures, payment amounts, performance metrics, etc. to encourage and facilitate providers and payers to make the transition from the current payment system to an improved payment system?
• What data and analyses do providers and purchasers/payers need in order to develop and implement a successful payment model? How should these data and analyses be provided, and how should the costs of producing them be financed?