Outcomes-based Payment

In our fragmented healthcare system, providers seldom have the opportunity to speak directly with employers, even though these employers pay for much of the healthcare expenses in this country.

CAPP engaged the Institute for Accountable Care (IAC) to review recent literature to assess research on the characteristics and performance of accountable care organizations and physician groups.

Employers have a big influence on how and whether we accelerate value-based care. Employers shoulder the biggest share of national health care costs, which rise faster annually than overall inflation.

CAPP asked Institute for Accountable Care Executive Director Rob Mechanic to review the latest literature on accountable care entities and payment to better understand what influences participation.

The COVID-19 pandemic has upended health care in America. The 31 multi-specialty medical groups that are part of the CAPP are at the forefront of the battle for their patients’ lives.

Austin Regional Clinic is a multispecialty medical group with a foundation of physician leadership, integrated systems, and coordinated care which proved indispensable in this current health crisis.

Sharp Rees-Stealy swung into action during the pandemic, ensuring those who might be infected with COVID-19 could be seen and treated safely, and providing a safe environment for routine patient care.

A recent study in "Medical Care" suggests that health plans that contract with physicians who are more exposed to the quality measures established under a value arrangement are more likely to succeed.

As a pediatrician, I have one of the best jobs in health care: keeping children healthy. It’s also a tremendous responsibility.

In 2009, Blue Cross Blue Shield of Massachusetts launched a value-based payment model. Researchers analyzed eight years of data and found spending was lower and quality higher than the control group.