Search
Last Updated 10/19/2014

Forum Materials

Policy Brief

Agenda

Speaker Bios

Suzanne Delbanco's presentation

Dolores Yanagihara's presentation

Tom Williams' presentation

Steve McDermott's presentation

Cheryl Damberg's presentation

Other Resources

American Medical Association, New Payment and Delivery Reform Models

Catalyst for Payment Reform (CPR)

Center for Healthcare Quality and Payment Reform


Centers for Medicare & Medicaid Services
·    Bundled Payments for Care Improvement Initiative, Fact Sheet, August 23, 2011
·    Medicare Acute Care Episode Demonstration for Orthopedic and Cardiovascular Surgery 

The Commonwealth Fund, Reforming Provider Payment: Essential Building Block for Health Reform, March 2009

The Commonwealth Fund Commission on A High Performance Health System, Why Not the Best? Results from the National Scorecard on U.S. Health System Performance, 2011. October 2011

Integrated Healthcare Association (IHA)
·    The California Pay for Performance (P4P) Program
·    The Bundled Episode Payment Project
·    Issue Briefs on both Bundled Payment and P4P
·    White papers on both accountable care organizations (ACOs) and P4P

National Health Leadership Council, The Road to Health Care Delivery Reform: Payment Reform and Accountable Care Organizations, March 2011

National Quality Forum and RAND Health, Payment Reform: Analysis of Models and Performance Measurement Implications, February 2011

The RAND Corporation, Analysis of Bundled Payment, 2011

Robert Wood Johnson Foundation, Charting a Path for Health Care Payment Reform: Recommendations for the Field, June 2010

 

 

Emphasizing Value: The Future of Payment Reform in California

When:

Thursday, December 1, 2011, 1:30 – 3:30 PM

Where:

California State Capitol, Room 126, Sacramento, CA

Across the country, growth in health care spending continues to outstrip economic growth, while at the same time the quality of care delivered is not commensurate with its high cost. Against this backdrop, both private and public payers are searching for ways to reduce costs and increase quality in health care. Several of these entities are focusing on new methods of payment, as there is widespread acknowledgement that many current provider payment methods provide incentives for volume rather than value and do not reward quality improvement. Implementing new payment methods requires a high degree of collaboration between hospitals, physicians, and payers – a challenge for entities whose interests have traditionally been at odds. Large-scale payment reform also necessitates some level of cooperation across payers, so that providers do not face multiple, potentially competing, reporting requirements and incentives that complicate the delivery of care. Despite the challenges, payment reform is underway in California, with multiple examples of long-running and novel efforts to encourage the delivery of high-value health care.

This briefing will provide an overview of payment reform initiatives that are underway in California. Speakers will describe both statewide and local initiatives to provide incentives for the delivery of high-quality, lower-cost care, including an accountable care organization (ACO) set up to care for CalPERS members in the Sacramento region. Policy recommendations related to engaging in cross-sector payment reform efforts and designing payment structures that reward both cost reduction and quality improvement will also be discussed.   

Confirmed speakers are:

  • Suzanne Delbanco, PhD, Executive Director, Catalyst for Payment Reform (facilitator)
  • Cheryl Damberg, PhD, Senior Policy Researcher, RAND Corporation
  • Steve McDermott, CEO, Hill Physicians Medical Group
  • Tom Williams, DrPH, MBA, Executive Director, Integrated Healthcare Association (IHA)
  • Dolores Yanagihara, MPH, Pay for Performance Program Director, IHA

Funding for the California Health Policy Forum is provided by grants from the California HealthCare Foundation and The California Wellness Foundation.