Date: Friday, June 17, 2016
Time: 1:30 - 3:30 p.m. CT
On Friday, June 17, thanks to support from the Robert Wood Johnson Foundation, the Network for Regional Healthcare Improvement (NRHI) and the Center for Healthcare Quality and Payment Reform (CHQPR) will host 100 senior healthcare leaders from all over the country, including national employers, regional employer coalitions, leaders of national and regional health plans, practicing physicians and leaders of physician organizations and hospitals, healthcare consumers, federal and state policymakers, leaders of Regional Health Improvement Collaboratives, and healthcare policy experts. These 100 experts will divide into multi-stakeholder teams to tackle eight important issues related to payment reform during the first portion of the meeting, and then they will come together to present and discuss their recommendations for addressing those issues in a plenary session at the end of the meeting.
NRHI will be live streaming the final plenary session of the National Payment Reform Summit so you will be able to hear the recommendations and discussion and provide your feedback on the recommendations. The live stream will be held from 1:30 to 3:30 p.m. CT on June 17. Please use this link to join the discussion: https://livestream.com/CollaborativeHealthNetwork/paymentreform.
The following are the eight topics that will be addressed at the Summit:
- How can payment systems be designed to support coordinated team-based approaches to care involving multiple specialties and multiple types of providers? How should individual physicians and other providers be compensated inside bundled payment, episode payment, and global payment models?
- How should health care payment systems be designed to support efforts to prevent disease, slow the progression of disease, and encourage healthy lifestyles that achieve results in future years?
- What changes in patient benefit designs are needed to support successful payment reform? What incentives or requirements should there be for patients to use specific teams or networks of providers? Should providers be able to set or modify patient cost-sharing requirements to support the services or behaviors they are trying to encourage?
- What mechanisms should be used in payment systems to protect healthcare providers from excessive financial risk? What mechanisms should be used to protect high-need patients from under-treatment and loss of access to care? Are special mechanisms or exemptions needed for small physician practices and hospitals or for providers located in rural areas?
- How should payment systems be structured to support adequate and appropriate care for patients facing non-medical challenges (e.g., low income, homelessness, functional limitations, etc.) as well as health problems? Should different payment systems be used for safety net providers than for other providers?
- How should payment systems be structured to provide adequate support for hospitals’ standby services and medical education costs while encouraging fewer hospitalizations and fewer hospital-based services?
- What temporary modifications, if any, are needed in payment structures, payment amounts, performance metrics, etc. to encourage and facilitate providers and payers to make the transition from the current payment system to an improved payment system?
- What data and analyses do providers and purchasers/payers need in order to develop and implement a successful payment model? How should these data and analyses be provided, and how should the costs of producing them be financed?
NRHI will host a follow up Q&A discussion on June 22nd at 1:00 PM CT. You will be able to find information about that event on the Healthdoers platform at http://community.healthdoers.org/home. Please visit the site for ongoing programming related to payment reform.
If you have any questions, please contact Mary-Isabel Aromando.