Health care purchasers are moving toward value-driven systems of service delivery and payment, as evidenced by current strategies of Medicaid, Medicare, health plans, and employers. Generally speaking, purchasers are challenging providers to advance the ‘triple aim‘ of better health, better care, and lower per capita costs. The emerging framework for meeting this challenge is population health management focused on clinical excellence and community health improvement. The challenge is to prove this value with data, and communicate it with clarity.
Scan the resources below for evidence and insight on the trend toward value-driven health care.
|The Triple Aim
|Institute for Healthcare Improvement Triple Aim Framework
|2014 Managed Care Annual ReportNCQA Medicaid Managed Care Toolkit
|CMS Medicare Innovation Strategy Medicare ACO Quality Metrics
|Health Plan Strategies
|Anthem Program Description for Patient Centered Primary Care Programs
|The Patient Centered Primary Care CollaborativePatient Centered Medical Home Metrics for Employers
|A Population Health Guide for Primary Care Models (2012)The Chronic Care Model