Better Ways to Pay for Health Care: A Primer on Healthcare Payment Reform
The second report in the series was Better Ways to Pay for Health Care: A Primer on Healthcare Payment Reform. The concise report provides an easy-to-understand explanation of the problems with current healthcare systems and describes alternative payment systems that can solve the problems without placing the kinds of restrictions on doctors and patients that doomed many managed care initiatives a decade ago. The report shows how “episode-of-care” payment systems provide the incentives for hospitals and physicians to coordinate their efforts in order to eliminate quality problems and improve efficiencies in care delivery. It also shows how “risk-adjusted global fees” can provide primary care physicians the resources they need to help people with chronic diseases stay well enough to avoid preventable hospitalizations, which is consistent with current national efforts to promote the use of patient-centered medical homes.
Thanks to generous support from the Robert Wood Johnson Foundation, NRHI issued a series of reports on issues related to healthcare payment reform written by Harold Miller.