Health Care Payment Reform That Rewards Value, Not Volume

The Commonwealth Fund Commission on a High Performance Health System recommends an integrated set of reforms for changing the way the nation pays for health care—to reward high-quality care and encourage a more rational, efficient care delivery system. In a new report, Reforming Provider Payment: Essential Building Block for Health Reform, Fund researchers describe in greater detail the Commission's proposals for payment reform, how they might be applied, and what their impact could be if implemented on a foundation of universal health coverage and other system reforms.


The Commission-recommended payment reforms seek to:

• strengthen primary care by enhancing Medicare payment for services and ensuring annual increases that keep pace with the cost of efficient practice

• encourage adoption of the medical home model and promote more accessible, coordinated, patient-centered care, with a focus on health and disease prevention

• promote more effective, efficient, and integrated care delivery through "bundled payment" approaches that reimburse providers for care delivered over a period of time or for the duration of an illness, with rewards for quality, outcomes, and efficiency

• correct price signals in health care markets to align payments with value.


Click here for the report.


(Source: The Commonwealth Fund,, March 20, 2009)

(Source: AHA News Now,, March 3, 2009)