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Catalyst for Payment Reform offers mixed evidence on whether payment reform lowers costs
Summary
Suzanne Delbanco of Catalyst for Payment Reform told the board payment-reform approaches have expanded but evidence of consistent cost and quality gains is mixed; she estimated about half of commercial payments now include some quality incentive and urged rigorous, independent evaluation.
Suzanne Delbanco, executive director of the nonprofit Catalyst for Payment Reform (CPR), told the San Francisco Health Service Board that payment reform—shifting away from pure fee-for-service and toward value-based methods—has grown but that evidence of consistent, systemwide cost savings remains mixed.
Delbanco summarized CPR’s work measuring payment reforms nationwide and said roughly ‘‘about 50¢ on every dollar’’ in the commercial market now carries some quality incentive. She said most commercial reforms so far are…
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