Paths to Sustainability for Innovative Delivery System Programs

Paths to Sustainability for Innovative Delivery System Programs

Peter S. Hussey
Courtney Armstrong
Eric C. Schneider
Copyright Date: 2015
Published by: RAND Corporation
Pages: 12
https://www.jstor.org/stable/10.7249/j.ctt15sk89t
  • Cite this Item
  • Book Info
    Paths to Sustainability for Innovative Delivery System Programs
    Book Description:

    Innovative health care delivery organizations are developing programs that aim to improve quality and demonstrate reductions in unnecessary use of acute care and costs. Researchers sought to identify the methods in use to reimburse new care delivery models, criteria that health plans use to determine eligibility for these models, and criteria that accountable care organizations apply for their investments in delivery innovations.

    eISBN: 978-0-8330-9127-7
    Subjects: Health Sciences

Table of Contents

  1. Paths to Sustainability for Innovative Delivery System Programs
    (pp. 1-12)
    Peter S. Hussey, Courtney Armstrong and Eric C. Schneider

    Innovative health care delivery organizations are developing programs that aim to improve quality and demonstrate reductions in unnecessary use of acute care and costs. These programs are often incompatible with fee-for-service payment systems. Providers that seek to innovate how they deliver care can adversely affect their financial performance in two ways. First, payers may not directly reimburse important components of the care delivery program. For example, care coordination services have not typically been reimbursable services under fee-for-service. Second, to the extent that improvements in care decrease health care utilization, providers may face decreased revenue (Toussaint, Milstein, and Shortell, 2013). To...