Medicare, Medicaid and commercial payers have made broad and sweeping changes to how they pay healthcare providers over the past eight years, with the goal of improving the quality, efficiency and affordability of healthcare. The industry is eager to know if, at a macro level, these efforts have succeeded. Although evaluations of specific payment reform programs have produced mixed results, there is enough promise in each that experimentation will continue. But assessing the impact of one program at a time means looking at a tree, not the forest.
Commentary: Scoring progress on payment reform—what’s working, what’s not—one state at a time