Aligning Care Delivery to Emerging Payment Models

Prepared in collaboration with the American Hospital Association Center for Health Innovation

Hospitals and health systems across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs and, ultimately, produce better population health. They are testing and implementing new care models to focus on prevention and better coordinate care across the many sites of care that touch patients.

Hospitals and health systems across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs and, ultimately, produce better population health. They are testing and implementing new care models to focus on prevention and better coordinate care across the many sites of care that touch patients.

The payment landscape for healthcare services has evolved to support providers’ transition to new care delivery models. Over the past ten years, payers have transitioned a growing portion of payments made to providers to alternative payment models (APMs). Also commonly referred to as value-based payment models, APMs incent providers for quality and value rather than volume.

In a new report released by the American Hospital Association (AHA) Center for Health Innovation, the AHA and Manatt Health collaborated to present an overview of the successes and challenges that providers have experienced in aligning care delivery models with APMs and share lessons for those in the midst of the transition. In addition, the AHA and Manatt Health have created a list of 23 questions for hospital leaders and their teams who are grappling with how to evolve their care delivery models and which payment models can support their transformation goals. Answering the questions will help leadership teams achieve their clinical and financial objectives as they implement and refine care delivery models.

Click here to read the full report. Click here to download the 23 questions for leadership teams.

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