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 Payment Reform Technology Adoption
    Publication Date: December 17, 2014

    All Payer Claims Databases: Unlocking the Potential

    This Issue Brief reflects findings from the event, in addition to background research and expert interviews conducted by NEHI to explore the opportunities and lessons learned in leveraging APCDs to advance health services research.
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  • Themes Payment Reform Technology Adoption
    Publication Date: November 13, 2014

    A Bundle of Potential and Risk: Bundled Payment and its Impact on Innovation

    This Issue Brief reflects findings from the event, in addition to background research and expert interviews conducted by NEHI on what this changing landscape means for patient access to innovative therapies and medical devices.
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  • Themes Accountable Care Payment Reform Telemedicine
    Publication Date: April 26, 2013

    ACO Innovation Summit Series

    An overview of a series of dynamic summits hosted by NEHI for senior leaders for a multi-sector exploration of the potential impact of ACOs on patient access to innovative therapies and technologies. Since passage of the Affordable Care Act, more than 450 Accountable Care Organizations have been established in 49 states. While ACOs are in the spotlight as a means to transform the health care delivery system, many challenges need to be addressed. NEHI has taken the lead by convening a series of dynamic summits for senior leaders from pioneer ACOs, academia, biopharma and medtech for a multi-sector exploration of the potential impact of ACOs on patient access to innovative therapies and technologies.
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  • Themes Chronic Disease Healthcare Spending Health Reform
    Publication Date: April 26, 2012

    2012 Innovation Barometer

    A national survey of 500 opinion leaders shows strong support for using innovative solutions to increase efficiency and control costs in health care.
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  • Themes Evidence-based Medicine Healthcare Spending Payment Reform
    Publication Date: March 1, 2012

    Exploring Innovative Pricing Arrangements for Biopharmaceuticals

    This Issue Brief discusses critical barriers to expanded use of innovative pricing arrangements, strategies to overcome them and alternative ways to ensure access and continued innovation of biopharmaceuticals.
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  • Themes Comparative Effectiveness Research Evidence-based Medicine Payment Reform
    Publication Date: February 17, 2011

    From Evidence to Practice: A National Strategy for CER Dissemination

    Since the passage of the ACA, NEHI has been examining the potential avenues for CER dissemination, specifically the existing programs of the Agency for Healthcare Research and Quality (AHRQ) and the newly created Patient-Centered Outcomes Research Institute (PCORI). This white paper takes the position that PCORI must elevate dissemination as a priority, above and beyond the level called for in the Affordable Care Act and in the Institute of Medicine’s 2009 report to Congress on CER priorities.
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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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