Delivery and Payment Reform
Overview
Key national initiatives to help drive momentum in healthcare delivery and payment reform include hospital fair price, medical and pharmacy drug management, high-cost claims, advanced primary care, and The Path Forward for Mental Health and Substance Use.
Delivery and Payment Reform
Advancing Value-based Care
The US healthcare system has a longstanding reputation for high costs, poor health outcomes (compared to other developed nations that spend much less), inequities, waste, and inefficiency. The National Alliance Delivery and Payment Reform Committee is continuously pursuing opportunities to improve care, patient experience, and outcomes while lowering costs.
Delivery and Payment Reform Initiatives
Employers/purchasers are paying the bills for healthcare that is not delivering value. These initiatives support efforts to improve care and value.
Advanced Primary Care
High-Cost Claims
Hospital Fair Price
Medical and Pharmacy Drug Management
The Path Forward for Mental Health and Substance Use
Coalitions In Action
Membership in the National Alliance is a catalyst for state and regional coalitions and their employer/purchaser members to advance key initiatives. Together, they leverage their collective influence to drive health, equity and value.
The Alliance
Reference-Based Contracting by The Alliance® uses Medicare as a benchmark for fair pricing instead of focusing on a discount off billed charges. Its bargaining power and employer-ownership model help negotiate better prices than large PPOs. On average, Wisconsin healthcare payers pay 307% of Medicare; The Alliance contracts at 175-275%.
Related News & Insights
- National Alliance In The News
- National Alliance In The News