Identifying Progress and Pace of Rapid Change in Reimbursement Contracts Among Group Physician Practices


As health care costs rise without any improvement in outcomes, policymakers are seeking solutions which involve payment reform and delivery system restructuring to lower costs and achieve higher quality.  With the passage of the Affordable Care Act, there has been an increased emphasis in shifting away from the widely used fee-for-service payment model, which can encourage overuse and waste, to models that emphasize the value of the care provided instead of the volume of services rendered. However, challenges remain in creating an environment for change because there is a lack of research on the prevalence of alternative payment models and the opportunities and challenges in implementation.  This project will repeat a survey of physician groups in 2010, and explore progress related to the shift toward value-based payment models.    It will also identify groups that have succeeded and the factors associated with their success.  The results will inform policymakers and stakeholders as they take on the challenging task of implementing payment reform and restructuring the delivery system.

Grant Details

Grantee Organization:
Brandeis University
Principal Investigator:
Robert Mechanic, M.B.A., and Darren Zinner, Ph.D.
Award Amount:
Approval Date:
June 30, 2013

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