Care and Payment Models to Achieve the Triple Aim

This report was produced by the AHA Committee on Research and Committee on Performance Improvement.  It discusses seven key principles for a new care delivery system. Hospitals and health care systems are striving to achieve the Triple Aim – improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care. To achieve these goals, hospital leaders are designing new care delivery systems. Adoption of these new systems can be facilitated by new and innovative payment models that center on individual and community needs and reward high-quality care with desired individual and population health outcomes. Recent changes to Medicare reimbursements support building a care delivery system based on quality and value-based payment policies. The U.S. Department of Health and Human Services has set a goal of tying 30 percent of all traditional, or fee-for-service, Medicare payments to quality or value through alternative payment models by the end of 2016, and tying 50 percent of payments to these models by the end of 2018. The 2015 American Hospital Association Committee on Performance Improvement studied design and redesign of a new care delivery system and identified seven key principles.

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