New approaches to health care payment that encourage providers to reduce medical spending by allowing them to share in the net savings have attracted considerable interest. For a new Commonwealth Fund issue brief, Michael Bailit and Christine Hughes interviewed leaders at payer and provider organizations and state agencies about their shared-savings approaches. These wide-ranging approaches have been driven by the push for performance-based payment for medical homes and other providers, as well as the Affordable Care Act's accountable care organization provisions.
