PORTLAND, Maine – February 20, 2014 — The Network for Regional Healthcare Improvement (NRHI), a leader in transforming U.S. health care, released a new report, funded by the Robert Wood Johnson Foundation (RWJF), titled “Making the Business Case for Payment and Delivery Reform”. This report describes a ten-step process for developing a business case to support successful reforms in both healthcare payment and delivery systems. The report was prepared by Harold D. Miller, CEO of the Center for Healthcare Quality and Payment Reform, who also serves as the Strategic Initiatives Consultant to NRHI.
“There isn’t an easy answer to the unsustainable growth in health care spending. Purchasers and providers of healthcare need to work together to change the way healthcare is delivered and paid for so that patients can receive better care at lower cost. This report provides a step-by-step guide to help businesses, physicians, hospitals, and other purchasers and providers design changes that are both financially feasible for providers while saving money for purchasers,” says Elizabeth Mitchell, President and CEO of NRHI.
“Although it is widely accepted that payment reform is needed to support higher-value healthcare, the devil is in the details. Physicians, hospitals, and other health care providers need to present a clear business case to purchasers and payers to demonstrate that the proposed change in care will achieve sufficient benefits to justify their change in payment,” said Harold Miller, the author of the report. “Purchasers and payers also need to help by providing access to data on their current healthcare spending in order to enable good business case analyses to be developed.”