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Health Information Technology and Healthcare Information System

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Related Experiment Video

Updated: May 30, 2026

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm

Published on: October 20, 2022

Key design elements of shared-savings payment arrangements.

Michael Bailit¹, Christine Hughes

¹Bailit Health Purchasing, LLC, USA. mbailit@bailit-health.com

Issue Brief (Commonwealth Fund)

|August 19, 2011

Summary

Shared savings programs incentivize healthcare providers to lower costs for patient groups. This strategy, supported by the Affordable Care Act, requires careful consideration of savings calculation and provider support.

Related Experiment Videos

Last Updated: May 30, 2026

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm

Published on: October 20, 2022

Area of Science:

Health economics
Healthcare policy
Payment reform

Background:

Shared savings programs incentivize providers to reduce healthcare spending.
Growing interest driven by the Affordable Care Act and accountable care organizations.
Shift towards performance-based payment models in healthcare.

Purpose of the Study:

To explore diverse approaches in shared savings arrangements.
To identify challenges and resolutions for payers and providers.
To inform future refinements of shared savings models.

Main Methods:

Interviews with payer and provider organizations.
Interviews with state agencies involved in shared savings.
Analysis of diverse approaches to shared savings implementation.

Main Results:

Varied approaches in population/service coverage, provider assignment, and risk adjustment.
Key issues identified include savings verification, provider support, and performance metrics.
Need for agreement on savings calculation and distribution methods.

Conclusions:

Shared savings models require ongoing refinement and collaboration.
Addressing challenges in measurement, support, and standardization is crucial.
Successful implementation hinges on clear agreements and adaptive strategies.