Emerging Health Care Delivery and Payment

Health care organizations and medical practices of all types are reorganizing in an attempt to improve health care quality and decrease per capita cost of care through specific actions that have been identified by the Institute of Medicine that support The Triple Aim, a concept put forth by the Institute for Health Improvement.  Payment reform and accountability for health care outcomes are essential, and value is increasingly becoming part of the equation.

Various models of health care delivery and payment are emerging with a focus on managing the health of populations.  Some examples include Accountable Care Organizations (ACOs) and Patient Centered Medical Homes (PCMHs). In addition, the Centers for Medicare & Medicaid Services Innovation Center is testing innovative payment and service delivery models, including the Comprehensive Primary Care Initiative, designed to reduce costs and enhance the quality of care for individuals who receive Medicare, Medicaid or Children's Health Insurance Program (CHIP) benefits.

For more information on Health Care Reform or the Affordable Care Act, please visit the Academy's Advocacy information.

  • Patient-Centered Medical Home

    A variety of groups, including payer groups, state medical boards, state and federal government agencies, and national medical associations have collaborated to develop local PCMH models. Read More

  • National Coverage Determination

    The Academy drafted a National Coverage Determination (NCD) to request expansion of RD-provided MNT services under Medicare Part B. Read More

  • Affordable Care Act

    Information for new health care systems and demonstration projects at the state and local level will be implemented over the next three years and beyond. Read More