Alternative Payment Models and Working with Payers –Key Considerations for Advancing Population Health Goals and Achieving Child Health Equity

This article summarizes approaches to achieving value-based care in Pediatrics, providing a framework for understanding the continuum of models from fee-for-service to advanced alternative payment models. We present key examples of how alternative payment models have been developed and applied at the federal level within Medicare through the work of the  Centers for Medicare and Medicaid Services (CMS) and the Center for Medicaid and Medicaid Innovation (CMMI). We further describe key lessons learned and opportunities to adapt value-based payment models to promote whole child health and equity. Finally, we summarize policy considerations and chall enges in achieving accountability and aligning financial incentives for children’s health within a complex payer landscape.
Source: Pediatric Clinics of North America - Category: Pediatrics Authors: Source Type: research