Changes in Health Care Delivery and Payment

 “Better Care. Smarter Spending. Healthier People,” is the guiding paradigm put forth by the US Department of Health and Human Services in 2015. Health care delivery and payment for health care services continues to evolve as stakeholders continue to pursue goals of improving health outcomes and the consumer experience, while decreasing the total cost of care.

Alternative Payment Models are health care payments tied to outcomes and quality, and are being adopted as an important strategy to achieve value-based care: good care and outcomes at an affordable price. APMs are also an important vehicle for driving improvements in health care delivery. Understanding both fee for service payments and the potential revenue streams and the financial incentives of APMs are important to figuring out how to integrate nutrition care into various delivery models and settings. The Medicare Access and CHIP Reauthorization Act, which passed in 2015, enacted significant changes in how the Centers for Medicare and Medicaid Services pays health care providers. Those payment changes began to take effect in 2017.

Knowledge about health care transformation at the national and local level, combined with the use of Academy resources, will help Registered Dietitian Nutritionists and Nutrition and Dietetics Technicians, Registered seize opportunities to make significant contributions in value-based care, expand consumer access to evidence-based nutrition care and the role of the RDN, and improve the health of populations.