Moving Toward High-Value Health Care: Integrating Delivery System Reform into 2020 Policy Proposals

Delivery system reform has been a focus of regulatory and legislative policy to date, but it is unclear how policymakers will integrate reforms into their plans for 2020 and beyond.

To present and evaluate options for integrating delivery system reform into upcoming legislative proposals.

Literature review.

Policymakers should integrate delivery system reform into their 2020 plans to continue driving value in the health care system. Several options exist for promoting delivery system reform either through a state-based block grant approach or federal public plan approach. We identify three main principles that are critical for success of reform efforts: information sharing and infrastructure, flexibility to innovate, and alignment and stability of efforts.