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Advancing Payment Reform at the Community Level.

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Summary
This summary is machine-generated.

Multistakeholder alliances advanced healthcare payment reform through education, design, recruitment, and support. However, less than half of their projects were operational, showing alliances are not a cure-all for reform barriers.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Quality Improvement

Background:

  • Multistakeholder alliances, comprising payers, purchasers, providers, and consumers, voluntarily collaborate on local health goals.
  • The Robert Wood Johnson Foundation's Aligning Forces for Quality (AF4Q) initiative involved 16 alliances focused on improving healthcare quality through payment reform.

Purpose of the Study:

  • To describe payment reform projects undertaken by AF4Q alliances.
  • To identify the roles alliances played in advancing these payment reform initiatives.

Main Methods:

  • Key informant interviews with alliance leaders.
  • Document reviews conducted between 2010 and 2014.

Main Results:

  • Most common projects involved supplemental payments to fee-for-service models, building on existing quality improvement efforts.
  • Alliances engaged in four key roles: educating/advocating, designing projects, recruiting participants, and supporting operations.
  • Less than 50% of alliance payment reform projects were operational by 2014.

Conclusions:

  • Quality improvement-focused multistakeholder alliances can play significant roles in advancing healthcare payment reform.
  • These alliances are not a universal solution for overcoming established barriers to payment reform.