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Health reform in the US refers to the overhaul of its health care system and is frequently used interchangeably with the Affordable Care Act (ACA). Health reform includes addressing the ever- increasing costs of national health care by individuals, families, and the government.
Payment reform efforts focus on methods that reflect or support provider performance, especially the quality and safety of care that providers deliver, and are designed to spur provider efficiency and reduce unnecessary spending.
In the complex world of healthcare reform, healthcare reform basics include the policy and procedures to improve the healthcare delivery system involving government, insurance companies, employers, and the public, for those needing care.
Under the new law, Congress permits states to begin Medicaid eligibility redeterminations and renewals as of April 1, 2023, regardless of COVID-19 PHE end date, and also phases down the increased federal medical assistance percentage (FMAP) to states starting in April 2023 and concluding December 31, 2023.
While there are many different definitions of payment reform, Catalyst for Payment Reform defines payment reform as payment methods that reflect or support provider performance, especially the quality and safety of care that providers deliver, and are designed to spur provider efficiency and reduce unnecessary spending

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Value-based payment strives to promote the best care at the lowest cost, allowing patients to receive higher-value, higher quality care. Payment reform, with the goals of shifting provider payments and incentives from volume to value, is a health policy issue that has bipartisan support.
Health care is currently in the middle of a transition from a system of payment based on the volume of services provided (fee-for-service) to payment based on the value of those services (value-based care and alternative payment models).

Related links

The beginners guide to new health care payment models

Payment reform in health care is confusing, but the goal is simple: How can health care providers change their economic incentives to encourage value over

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A Framework for Patient-Centered Health Risk Assessments

by RZ Goetzel 2011 Cited by 71 health reform lays for improved payment, care coordination, and prevention. Health. Affairs. 2010;29:1183-7. 16. Patient Protection and Affordable Care Act of

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The Impact of Payment Reforms on the Quality and

by TEP Remers 2022 Cited by 2 Whereas a payment reform is often initiated by a regulator or payer, such as a national and/or federal government or healthcare insurance

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