Moving Beyond Fee-For-Service

This report highlights how seven ACHP member health plans have established physician payment models that promote value rather than volume. These examples provide a practical guide to payment reform that incorporates quality metrics, shared savings, care coordination and additional desired objectives while reducing reliance on fee-for-service payment.  The report also draws implications for Medicare payment reform.

On September 17, ACHP released the paper at a webinar featuring three medical directors: Ray Roth, M.D., vice president and chief medical officer of Geisinger Health Plan; Pat Courneya, M.D., medication director of HealthPartners; and Paul Kasuba, senior vice president and chief medical officer of Tufts Health Plan.