Delivery System & Payment Reform
The purpose of delivery system and payment reform has been articulated in multiple ways by HHS, health policy experts and health care industry participants. Among the formulations of the reform goals are:
- Achievement of the “Triple Aim” (a term developed by the Institute for Healthcare Improvement and adopted by CMS) of improving the experience of care, improving the health of populations and reducing per capita health care costs.
- Provision of care that meets what the Institute of Medicine has defined as quality care— safe, effective, patient-centered, timely, efficient and equitable care.
Effecting the delivery of the right care, in the right place, at the right time.
- Delivery system and payment reform are also directed at curbing the unsustainable year-over-year inflation in health care cost increases that has recurred over the past four decades in the United States.
The topics contained in this section include relevant resources and Ropes & Gray analysis to understand and explore how Federal health care reform will generate changes in the organizational structures of health care providers and payors, the financing of governmental health care programs and provider reimbursement from governmental and commercial payors.