Reforming Payment Systems

NEHI’s research and analysis focuses on assessing the impact of new payment models on the development, adoption and availability of innovative therapies and technologies at the point of care. Current NEHI projects include how Accountable Care Organizations, bundled and global payments, pay-for–performance and patient centered medical homes are changing the innovation paradigm, creating new opportunities for some sectors and challenges for others. NEHI’s agenda on payment reforms includes future analysis of the need for continuing innovation in payment methods that will support improved patient outcomes and high-value care.

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Initiatives

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  • Themes Health Reform Medication Adherence Patient Engagement
    Publication Date: September 23, 2010

    Medication Adherence and Care Teams: A Call for Demonstration Projects

    This report explains why care teams can help improve medication adherence and calls for more research on how to best use care teams in a wide variety of clinical settings.
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  • Themes Comparative Effectiveness Research Evidence-based Medicine Payment Reform
    Publication Date: September 1, 2010

    From Evidence to Practice: Making CER Findings Work for Providers and Patients

    This issue brief identifies a number of major factors found by NEHI research that could influence the creation of a coherent and effective CER dissemination strategy.
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  • Themes Health Reform Patient Engagement Waste
    Publication Date: January 20, 2010

    Remaking Primary Care: A Framework for the Future

    This report delves into the basis of the current crisis in primary care and offers solutions for the future.
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  • Themes Healthcare Spending Health Reform Payment Reform
    Publication Date: September 10, 2009

    Rx for Health Reform

    NEHI has taken a leading role in informing and influencing the health care debate. The core of this initiative is our policy statement, Rx for Health Reform, calling for containing health care costs by preventing illness, managing chronic diseases and strengthening primary care. These goals can be realized by implementing a series of policy changes known as the NEHI Nine. NEHI supports increasing access to health care of uninsured Americans but believes that a lasting and cost conscious solution requires system-wide reform. If we change the way we finance, organize and deliver care, we can improve quality and save costs for all Americans by preventing illness, managing chronic diseases, and strengthening primary care.
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  • Themes Health Reform Patient Engagement Waste
    Publication Date: May 26, 2009

    Remaking Primary Care: From Crisis to Opportunity

    This report focuses on the factors contributing to the failure of our current primary care system and offers innovative approaches to reform its design and delivery.
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  • Themes Comparative Effectiveness Research Healthcare Spending Health Reform
    Publication Date: April 20, 2009

    Balancing Act: Comparative Effectiveness Research and Innovation in U.S. Health Care

    This white paper, representing the views of a broad range of health care stakeholders, provides a first-of-its-kind framework for designing and implementing a federal CER program that will sustain the unique dynamics of innovation in health care.
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  • Themes Comparative Effectiveness Research Health Reform Payment Reform
    Publication Date: July 21, 2008

    Comparative Effectiveness Research

    A summary of NEHI's work in comparative effectiveness research.
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  • Themes Chronic Disease Evidence-based Medicine Health Reform
    Publication Date: March 1, 2004

    Targeting Cancer: Innovation in the Treatment of Chronic Myelogenous Leukemia

    The adoption of Gleevec, a pioneering drug in the treatment of CML, highlights challenges and opportunities in bringing drugs treating rare diseases to market.
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  • Themes Healthcare Spending Payment Reform Technology Adoption
    Publication Date: February 1, 2003

    The Economic Contributions of the Health Care Industry to the New England Region

    New England must take steps to maintain its national leadership in health care employment, reverse the decline in employment growth and make the region more attractive to health care employers.
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NEHI'S Impact

For Our Members 

"NEHI’s involvement in the ACO conversation is really about the organization they are, the knowledge that they bring and the platform they provide as the key thought leaders and stakeholders who aren’t specific to oncology. I think you need a neutral party sometimes to have these conversations. And they have done incredible work on bending the curve of healthcare costs and all of their other work that they’ve done to lay the groundwork for healthcare in a new era."-Molly Muldoon, Vice President of Government Affairs and Health Policy, Onyx Pharmaceuticals 

In the Media

"ACOs, even at this early stage, are changing the innovation paradigm, creating new opportunities for some sectors and new challenges for others. For payers and providers, ACOs have opened the door for innovative new payment and care delivery models. But at the same time, there are new pressures on the biopharmaceutical and medtech industries to demonstrate the value of their innovations in ways not required in the past."- Network for Excellence in Health Innovation, featured in the Health Affairs Blog

 

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