Provider payment arrangements, provider risk, and their relationship with the cost of health care

Despite the many roadblocks payment reform faces, it appears that increased data sharing, results of decreased total costs of care and better quality, and implementation challenges shared through literature—along with the results of actual Medicare, commercial, and Medicaid programs—are propelling the momentum forward. This paper outlines the general steps and considerations for designing, implementing, and measuring results of existing payment reform models.

This article was originally published by the Society of Actuaries.