Rewarding High Quality: Practical Models for Value-Based Physician Payment

This issue brief builds on the recommendations in ACHP’s Moving Beyond Fee-for-Service brief, and examines how community health plans are designing value-based alternative payment models. It highlights specific, replicable strategies that are designed to reduce the total cost of care and improve health by rewarding providers for quality and specific health outcomes, such as improved management of diabetes or high blood pressure.

These strategies for creating value-based payments come from ACHP members, community-based, non-profit, high-performing plans with extensive experience in innovative payment and delivery models. The brief provides examples from ACHP plans for each of the four strategies. Select case studies are included to provide detailed information on new payment models that are reducing costs while maintaining commitment to high-quality care.

On April 20, ACHP released the brief and held a webinar featuring Dr. Steve Perkins, UPMC Health Plan, Eileen Wood, Capital District Physicians’ Health Plan and Chris Dawe, Evolent Health. The conversation was facilitated by Dr. Pat Courneya of Kaiser Permanente and a member of the Guiding Committee for the CMS Health Care Payment Learning Action Network.

Click here to download the webinar recording and slide deck.