First National Scorecard on Progress in Payment Reform

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<p>The new National Scorecard on Payment Reform released today by Catalyst for Payment Reform is the first effort to measure progress in improving how health care is paid for in the United States. The Scorecard, produced with support from The Commonwealth Fund and the California HealthCare Foundation, finds that 11 percent of private health care payments to doctors and hospitals are tied to performance or designed to cut waste. </p><p>In a <a href="/blog/2013/first-ever-national-scorecard-progress-payment-reform">blog post</a> summarizing the findings, Catalyst for Payment Reform program director Andréa Caballero Dilweg notes that just 60 percent of payments linked to the value of care delivered went to providers who assume a share of risk—meaning they stand to lose money if they fail to meet standards of quality and efficiency or exceed a budget. The rest of payments were from pay-for-performance and other incentive programs that promote quality but do little to discourage overuse of care or inappropriate care. </p>
<p>"We know changing how we pay for care is the next chapter in our effort to reform health care," Caballero Dilweg says. "Today's Scorecard tells us we still have a long way to go. Fortunately, employers and other health care purchasers and stakeholders are working together to be part of the solution."</p>
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