The federal government and private payers are changing the way they pay physicians and other health professionals by moving towards innovative models intended to improve quality and reduce costs. An AMA-RAND study investigates the real-world impact of these payment reforms on physician practices. The study findings are guiding the AMA’s efforts to improve alternative physician payment models and to help physician practices successfully adapt and succeed.

LINK 1: AMA-RAND Study

Alternative Payment Models (APMs)

Prepare for changes happening through the Medicare Access & CHIP Reauthorization Act.

Access resources and information to understand Medicare payment and delivery reform under Medicare Access and CHIP Reauthorization Act (MACRA).

LINK 2: Quality Payment Program (QPP) specifics 

Learn how 7 potential alternative payment models (APMs) could help physicians in every specialty improve patient care, manage health care spending and qualify for APM annual bonus payments.

LINK 3: Medicare Alternative Payment Models (APMS)

Is the pay-for-performance or the bundled payment model right for my practice?

Many commercial payers are pursuing pay-for-performance and bundled or episode-based, contracts with physicians. Determining whether either fits your practice begins with understanding their contracts. Download the new contract tools and learn:

  • What these payment models are
  • Which model concepts and contract issues you need to know
  • How you can evaluate these models’ risks and effectiveness

PDF 1: Evaluating pay-for-performance contracts

PDF 2: Evaluating bundled or episode-based contracts

Resources

The AMA has a number of resources to help physicians adopt reforms, PowerPoint presentations, and papers developed by experts and early innovators in new payment models.

PDF 3: Value-based care models: Deep dive FAQs for hospital-affiliated physicians

Information for physicians who are affiliated with a hospital and are considering participation in a value-based care arrangement.

PDF 4: Where do I fit in? Dividing the pie in new payment models

Learn about fee-for-value (FFV) payment arrangements from how to transition to an FFV model to adopting payments innovations that reward high-value care.

LINK 4: Effects of Health Care Payment Models on Physician Practice in the United States: Follow-Up Study: The American Medical Association and the RAND Corporation recently conducted a follow-up study to their 2014 research on the effects of payment models on physician practices, hospitals and health plans in six distinct markets. Today’s new research reveals how the effects of participation in payment models have persisted, improved or further affected practices and organizations.

LINK 5: Effects of health care payment models on physician practice in the United States

A report from the RAND Corporation commissioned by the AMA took an in-depth look at the impact that various payment models have on physician practices, their professional lives and the delivery of patient care and assessed the impact of alternative payment models on practices and individual physicians.

LINK 6: Measuring and assigning accountability for healthcare spending

A report from the Center for Healthcare Quality and Payment Reform describes 6 fundamental problems with the current attribution and risk adjustment systems that are being used in a number of the payment systems implemented by Medicare and private health plans and explains how these problems could seriously harm both patients and health care providers.

LINK 7: The building blocks of successful payment reform: Designing payment systems that support higher value care 

A report developed by the Center for Healthcare Quality and Payment Reform describes a 10-step process for developing such a business case and provides a detailed example for how to apply the process to an initiative to improve management of chronic disease patients. The report also describes the types of data that are needed to carry out all of the steps in a good business case analysis.

The federal government and private payers are changing the way they pay physicians and other health professionals by moving towards innovative models intended to improve quality and reduce costs. An AMA-RAND study investigates the real-world impact of these payment reforms on physician practices. The study findings are guiding the AMA’s efforts to improve alternative physician payment models and to help physician practices successfully adapt and succeed.

LINK 1: AMA-RAND Study

Alternative Payment Models (APMs)

Prepare for changes happening through the Medicare Access & CHIP Reauthorization Act.

Access resources and information to understand Medicare payment and delivery reform under Medicare Access and CHIP Reauthorization Act (MACRA).

LINK 2: Quality Payment Program (QPP) specifics 

Learn how 7 potential alternative payment models (APMs) could help physicians in every specialty improve patient care, manage health care spending and qualify for APM annual bonus payments.

LINK 3: Medicare Alternative Payment Models (APMS)

Is the pay-for-performance or the bundled payment model right for my practice?

Many commercial payers are pursuing pay-for-performance and bundled or episode-based, contracts with physicians. Determining whether either fits your practice begins with understanding their contracts. Download the new contract tools and learn:

  • What these payment models are
  • Which model concepts and contract issues you need to know
  • How you can evaluate these models’ risks and effectiveness

PDF 1: Evaluating pay-for-performance contracts

PDF 2: Evaluating bundled or episode-based contracts

Resources

The AMA has a number of resources to help physicians adopt reforms, PowerPoint presentations, and papers developed by experts and early innovators in new payment models.

PDF 3: Value-based care models: Deep dive FAQs for hospital-affiliated physicians

Information for physicians who are affiliated with a hospital and are considering participation in a value-based care arrangement.

PDF 4: Where do I fit in? Dividing the pie in new payment models

Learn about fee-for-value (FFV) payment arrangements from how to transition to an FFV model to adopting payments innovations that reward high-value care.

LINK 4: Effects of Health Care Payment Models on Physician Practice in the United States: Follow-Up Study: The American Medical Association and the RAND Corporation recently conducted a follow-up study to their 2014 research on the effects of payment models on physician practices, hospitals and health plans in six distinct markets. Today’s new research reveals how the effects of participation in payment models have persisted, improved or further affected practices and organizations.

LINK 5: Effects of health care payment models on physician practice in the United States

A report from the RAND Corporation commissioned by the AMA took an in-depth look at the impact that various payment models have on physician practices, their professional lives and the delivery of patient care and assessed the impact of alternative payment models on practices and individual physicians.

LINK 6: Measuring and assigning accountability for healthcare spending

A report from the Center for Healthcare Quality and Payment Reform describes 6 fundamental problems with the current attribution and risk adjustment systems that are being used in a number of the payment systems implemented by Medicare and private health plans and explains how these problems could seriously harm both patients and health care providers.

LINK 7: The building blocks of successful payment reform: Designing payment systems that support higher value care 

A report developed by the Center for Healthcare Quality and Payment Reform describes a 10-step process for developing such a business case and provides a detailed example for how to apply the process to an initiative to improve management of chronic disease patients. The report also describes the types of data that are needed to carry out all of the steps in a good business case analysis.

PDF 4: Where do I fit in? Dividing the pie in new payment models

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