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
Saving Taxpayer Dollars by Enhancing Medicare Prepayment Reviews
The Centers for Medicare & Medicaid Services can use analytics and artificial intelligence to build on its past success with prepayment review programs, creating an opportunity to realize substantial savings and reduce improper payments in the Medicare fee-for-service program.
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