Overview
Health outcomes depend in part on systems of paying for, organizing, and delivering health care. The goal of this program is to support payment and delivery systems that drive better health outcomes for patients and populations. Read on to learn more about work in this program.
Merit-Based Incentive Payment System
Merit-based incentive payment system (MIPS) is the largest clinician pay-for-performance program in the US, requiring participation from most clinicians providing care to Americans insured through Medicare.
MIPS seeks to drive change in the areas of quality, cost, improvement activities, and health information technology. However, despite the potential to improve care, the program has been beset by a number of issues. UW faculty have provided content expertise and conducted analyses to inform national MIPS policy.
This portfolio includes work to provide content expertise as well as empirical analyses based on survey and other data aimed at informing policymakers about national MIPS policy. Work from this portfolio has led to briefings with federal policymakers, input via national committees and professional societies, and a number of deliverables.
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Care Coordination Strategies
Care coordination lies at the heart of many payment and delivery innovations. Coordination can occur via multiple strategies.
This portfolio includes work assessing strategies for care coordination. The major focus to date has been on fee-for-service billing codes designed to encourage coordination, including chronic care management, transitional care management, annual wellness visit, and behavioral health integration codes. Future directions include evaluation of care management programs focused on different care settings and populations.
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Alternative Payment Models
A number of value-based payment models, such was accountable care organizations and bundled payment organizations, have been tested as alternatives to prevailing volume-based, fee-for-service reimbursement. As part of an ongoing trend over more than a decade, these models have held clinicians and organizations financially accountable for the quality and costs of care.
This portfolio encompasses work to evaluate alternative payment models and their impact on patient and population outcomes. Work from this portfolio has led to briefings with federal policymakers, dissemination at national venues, and a number of deliverables.
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Penn LDI-AHA Bundled Payment Survey
Created collaboratively by payment experts at the Leonard Davis Institute (LDI) at the University of Pennsylvania and leaders at the American Hospital Association (AHA), this survey assessed the extent of organizational capacity among hospitals participating in bundled payment programs. The survey categorizes capacity in several areas: physician performance feedback, post-acute care utilization, care management, and health information technology.
Interested in getting involved in this work?