Health Topics
Value-based purchasing, including using alternative payment models, has become a central feature of efforts to contain costs and improve the quality of health care.
Payers are increasingly moving away from traditional fee-for-service payments that reward providers simply for furnishing more services and toward payment arrangements based on quality and value. These value-based payment arrangements include a variety of models, including shared savings, bundled or global payments, and pay for performance. Mathematica is working with public- and private-sector clients to design, implement, and evaluate these cutting-edge models. Our teams leverage Mathematica’s collective experience in the history of health care payment reforms with new data and evidence to assess the strengths and weaknesses of potential payment models, help implement and continuously improve innovative approaches, and support providers operating under these new arrangements.
Evidence & Insights
Blog Post
Design of Integrated Care Programs Need to Consider Solutions for Partial-Benefit Dually Eligible Individuals
If the goal of integrating Medicare and Medicaid benefits is to ensure that people with complex health needs who face barriers to care can obtain well-coordinated services, policymakers should design specific strategies to address the needs of PBDE individuals.
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