Payment Incentives and Integrated Care Delivery: Levers for Health System Reform and Cost Containment
Open Access
- 1 November 2011
- journal article
- review article
- Published by SAGE Publications in INQUIRY: The Journal of Health Care Organization, Provision, and Financing
- Vol. 48 (4), 277-287
- https://doi.org/10.5034/inquiryjrnl_48.04.01
Abstract
The Patient Protection and Affordable Care Act encourages use of payment methods and incentives to promote integrated care delivery models including patient-centered medical homes, accountable care organizations, and primary care and behavioral health integration. These models rely on interdisciplinary provider teams to coordinate patient care; health information and other technologies to assure, monitor, and assess quality; and payment and financial incentives such as bundling, pay-for-performance, and gain-sharing to encourage value-based health care. In this paper, we review evidence about integrated care delivery, payment methods, and financial incentives to improve value in health care purchasing, and address how these approaches can be used to advance health system change.Keywords
This publication has 18 references indexed in Scilit:
- The Impact of eHealth on the Quality and Safety of Health Care: A Systematic OverviewPLoS Medicine, 2011
- analysis & commentary Driving Quality Gains And Cost Savings Through Adoption Of Medical HomesHealth Affairs, 2010
- Evolving Models of Behavioral HealthPublished by Milbank Memorial Fund ,2010
- Consumer‐Oriented Health Care Reform Strategies: A Review of the Evidence on Managed Competition and Consumer‐Directed Health InsuranceThe Milbank Quarterly, 2009
- Quality and Consumer Decision Making in the Market for Health Insurance and Health Care ServicesMedical Care Research and Review, 2009
- Hospital-Physician Gainsharing In CardiologyHealth Affairs, 2008
- “ProvenCareSM”Annals of Surgery, 2007
- The effect of quality information on consumer health plan switching: Evidence from the Buyers Health Care Action GroupJournal of Health Economics, 2006
- Exporting the Buyers Health Care Action Group Purchasing Model: Lessons from Other CommunitiesThe Milbank Quarterly, 2005
- Early experience with a new model of employer group purchasing in Minnesota.Health Affairs, 1999