Rewarding Provider Performance: Ten Years In

Editor’s note: When we read Sharon Long and colleagues’ retrospective on Massachusetts health reform at 10 years in the September issue of Health Affairs we were reminded just what a busy year 2006 was for health policy writ large (in addition to wondering ‘Has it been that long already?’). Now a decade later, we think there’s something to be gained from looking back on the impact and reach of some of the most significant policies implemented that year. With that in mind, Health Affairs Blog invited a handful of policy makers and researchers to reflect on some of these major milestones, share lessons learned, and discuss how our world has changed since then. Visit the Blog for more posts in this occasional series. Ten years ago, the Institute of Medicine (now the National Academy of Medicine) released a report “Rewarding Provider Performance: Aligning Incentives in Medicare” reflecting the work of an IOM subcommittee that Robert Reischauer and I co-chaired. When the subcommittee was organized, various professional groups had already recognized Medicare incentives’ lack of alignment between clinicians and institutions and the lack of focus on individual outcomes. What was still relatively new and as yet untested was the development of payment strategies that would focus on outcomes and performance rather than on inputs. It was also clear that the country would need to develop new metrics that could be used to support payment reform. Ten years later, the countr...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Costs and Spending Featured Health Professionals Medicare Payment Policy Quality 2006 Alternative Payment Models MACRA Physician Quality Reporting System Physicians value-based payment Source Type: blogs