Evolving Care Models: Aligning care delivery to emerging payment models
Get the PDF of the report
Hospitals and health systems across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs and, ultimately, produce better population health. They are testing and implementing new care models to focus on prevention and better coordinate care across the many sites of care that touch patients.
The payment landscape for health care services has evolved to support providers’ transition to new care delivery models. Over the past 10 years, payers have transitioned a growing portion of payments made to providers to alternative payment models (APMs). Also commonly referred to as value-based payment models, APMs incent providers for quality and value, rather than volume.
This report from the AHA Center for Health Innovation provides an overview of the successes and challenges providers have experienced in aligning care delivery models with emerging payment models, and provides insights for those in the midst of this transition. Though the pace of the transition will vary by local market, payers will continue to shift financial risk to providers through more advanced payment models. Health systems are committed to advancing value-based care and will need to build new capabilities to succeed under these payment arrangements.
