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Measuring Progress: Adoption of Alternative Payment Models in Commercial, Medicare Advantage, and State Medicaid ProgramsExternal Link

Publication June 9, 2017
Health Care Payment Learning and Action Network
This report provides results of a study – the largest and most comprehensive of its kind – measuring use of Alternative Payment Methodologies (APMs) among public and private health plans that agreed to participate in the study. Conducted from May 19, 2016 to July 13, 2016, the findings capture actual health care spending from 2015 and provide an estimate of spending as of January 2016 across commercial, Medicare Advantage, and Medicaid market segments.

Filed In:

  • Payment Reform

Data Sharing Requirements Initiative: Collaborative Approaches to Advance Data SharingExternal Link

Publication June 9, 2017
Health Care Payment Learning and Action Network
The report is designed to help leaders - including providers, payers, and employers - who are working, or wish to work, in alternative payment models (APMs) to understand what information they will need from outside their organization and the processes involved in obtaining that information. It is also an aid for third party entities, including vendors, policymakers and others that provide access to the data sources and data sharing processes that support APM efforts.

Filed In:

  • Measurement and Reporting
  • Payment Reform

Accelerating the Implementation of Value-based Care and Payment: Recommendations from the 2016 National Payment Reform SummitExternal Link

Publication June 9, 2017
Network for Regional Healthcare Improvement
Stakeholders who are developing Alternative Payment Models (APMs) face a number of challenges, and those implementing or receiving care supported by APMs have concerns about APM design and potential negative consequences poorly-constructed APMs may have on patients, providers, payers and communities. Recommendations for addressing eight of these challenges were developed by the the 80 national health care leaders who participated in the 2016 National Payment Reform Summit.

Filed In:

  • Community Convenings
  • Payment Reform

Payment Reform Series No. 3 - The Building Blocks of Successful Payment Reform: Designing Payment Systems that Support Higher–Value Health CareExternal Link

Publication June 9, 2017
Network for Regional Healthcare Improvement
Many physicians, hospitals, and other providers across the country find that the current fee–for–service payment system creates barriers to implementing or sustaining better approaches to health care delivery. Consequently, payment reforms must be an integral part of any strategy to create a higher–value health care system. This white paper describes the building blocks for successful payment reform and how communities might approach these building blocks to meet their unique circumstances.

Filed In:

  • Payment Reform

Payment Reform Series No. 2- Advancing Transparency to Reform Payment: The Top Dos and Don’ts from Regional Multi-Stakeholder CollaborativesExternal Link

Publication June 9, 2017
Network for Regional Healthcare Improvement
This document features advice from leading Regional Health Improvement Collaboratives (RHICs), including ones in California, Ohio, Colorado, Maine, Minnesota, Oregon, and Missouri,that have been advancing their communities toward greater transparency of cost and quality information for years and overcoming barriers of all kinds.

Filed In:

  • Community Convenings
  • Payment Reform

Payment Reform Series No.1 - Moving From Quality to Value: Measuring and Controlling the Cost of Health CareExternal Link

Publication June 9, 2017
Network for Regional Healthcare Improvement
This issue brief describes why the industry must move beyond common but insufficient methods of measuring cost of care, and toward total cost of care, and what types of entities are well-positioned to lead this work. It presents five core components of measuring, analyzing, and reporting total cost, and presents the challenges associated with this task.

Filed In:

  • Measurement and Reporting
  • Payment Reform

Clinician & Organizational Vitality ResourcesExternal Link

Resource December 21, 2016
Patient-Centered Primary Care Institute
The Patient-Centered Primary Care Institute, in partnership with the Oregon Health Authority's Transformation Center, has created an area on the Institute website where you can find information, tools, and resources for Clinician and Organizational Vitality. Centered around addressing stress and burnout, these resources are for anyone working in health care that may benefit from wellness resources and tools.

Filed In:

  • Other

Use of claims data to estimate annual cervical cancer screening percentages in Portland metropolitan area, OregonExternal Link

Publication December 5, 2016
Cancer Epidemiology Journal
Nasreen Abdullah, Robert S. Laing, Susan Hariri, Collette M. Young, & Sean Schafer published a study using Q Corp claims data on how to estimate the percentage of women in a geographic population that have had cervical cancer screening. Their nfindings introduces a novel method to estimate population-level cervical cancer screening. Overall, the percentage of women screened in Portland, Oregon fell following changes in screening recommendations released in 2009 and later modified in 2012.

Filed In:

  • Measurement and Reporting

Informing Community Projects with Community Health Assessments

Webinar December 7, 2016

Clinicians are often the first to see the contributors to and consequences of poor health behaviors.  Thinking of ways to help our communities address these issues can be of great importance and contribute to a sense of meaning within the community. 

Filed In:

  • Community Convenings
  • Consumer Engagement

From Claims to Clarity: Deriving Actionable Healthcare Cost Benchmarks from Aggregated Commercial Claims DataExternal Link

Resource November 1, 2016
Network for Regional Healthcare Improvement
Over three years, Regional Health Improvement Collaboratives, working collectively through the Network for Regional Healthcare Improvement, have demonstrated the ability to assess, refine and standardize raw regional healthcare cost data and use it to establish meaningful, local practice level reports and comparisons within and between healthcare markets. This work advances healthcare cost transparency, a necessity for solving the healthcare cost crisis. This report summarizes key findings.

Filed In:

  • Measurement and Reporting
  • Payment Reform

NRHI’s Getting to Affordability Learning Module Series External Link

Resource November 1, 2016
The Network for Regional Healthcare Improvement
NRHI has launched its Learning Module series, aimed at enabling participants to learn first-hand from the HealthDoers in the field. Join the Getting to Affordability social learning community at this link to access the eight modules that provide training on technical and stakeholder engagement aspects of measuring and reporting Total Cost of Care (TCoC) locally and regionally. In the community you can also access resources, and talk with the TCoC project team and other community members.

Filed In:

  • Payment Reform

NRHI and APCD Council Release Technical Resource for Measurement of Total Cost of Care (TCOC) Using Multi-Payer Data SetsExternal Link

Resource October 31, 2016
The Network for Regional Healthcare Improvement
The Network for Regional Healthcare Improvement (NRHI) and the APCD Council are pleased to announce the release of the Technical Resource for Measurement of Total Cost of Care (TCOC) using Multi-Payer Data Sets. The standardized technical specifications and lessons learned from the TCOC pilot regions have been translated into a more formal how-to guide for measuring and reporting total cost of care.

Filed In:

  • Measurement and Reporting

Mindfulness Training for Clinician Vitality

Webinar December 13, 2016
PCPCI

This webinar is designed to help educate physicians, physician assistants, nurse practitioners and other healthcare clinicians about mindfulness skills and resources available to them to deal with professional and personal changes in the workplace, their changing clinical roles, and the potential for burnout. This is an experiential webinar offering participants first-hand practice with stress reduction strategies.