- READ AND REVIEW: “Medicare Delivery System Reform” https://www.kff.org/medicare-delivery-system-reform-the-evidence-link/
GOAL: Familiarize yourself with the most common Medicare value-based payment models: bundled payments, accountable care organization, and patient-centered homes.
The Centers for Medicare and Medicaid are major drives of innovative health care delivery models in the US. There have been significant changes to payment and structure of care over the past 10 years.
Other Reference Materials:
The following papers report the impact of care models on outcomes of interest such as cost and quality. These do NOT need to read before class:
- “Evaluation of Medicare’s Bundled Payments Initiative for Medical Conditions”
- “Maryland Multipayor Patient-Centered Medical Home Program”
- “Early Performance of Accountable Care Organizations in Medicare”
There are potential harms related to performance-based programs such as the creation of inappropriate incentives and inappropriate penalties. The following papers discuss these in more depth. These do NOT need to be read before class: