How health care is currently reimbursed to providers

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Health care reform efforts are moving toward frameworks that reward providers for the quality of health care delivered rather than the current model, which is focused on quantity. This requires a realignment of how health care is currently reimbursed to providers. To help achieve better care, in 2015, the Obama administration created the Health Care Payment Learning and Action Network involving 2,800 payers, providers, employers, patients, states, and consumer groups to help achieve this goal, which is "to transform the nation's health system to emphasize value over volume" (Centers for Medicare and Medicaid Services, 2015).

Note: To find current data on health care reform efforts, review the press release in the article "Better, Smarter, Healthier: Health Care Payment Learning and Action Network Kick Off to Advance Value and Quality in Health Care."

Considering what you read in this week's Learning Resources, what insights can you gain from state and local health care reform efforts? Taking the perspective of a health care administrator, how do you think these efforts might inform health care policy reform at the federal level? Is it possible to translate local reform to larger federal reform?

Post an analysis of state/local health care reform efforts. Be sure to include the following:

• A description of two key lessons you can take away from state/local health care reform efforts.

• An evaluation of how these lessons might inform health care policy changes taking place at the federal level, if at all.

• An explanation of one reform effort that is considered a benchmark at the local level that in some way reduces health care costs, improves quality, or increases access to health care. Provide the link to the article or website in your post.

• General Guidance on Discussion Posts: Your original post will typically be 3-4 paragraphs in length as a general expectation/estimate.

• Healthy San Francisco. (n.d.). Retrieved from http://healthysanfrancisco.org

• The Henry J. Kaiser Family Foundation. (n.d.). Health insurance coverage of the total population. Retrieved from http://kff.org/other/state-indicator/total-population/

• The Henry J. Kaiser Family Foundation. (n.d.). Infant mortality rates (deaths per 1,000 live births). Retrieved from http://kff.org/other/state-indicator/infant-death-rate/

• The Henry J. Kaiser Family Foundation. (n.d.). Number of deaths per 100,000 population. Retrieved fromhttp://kff.org/other/state-indicator/death-rate-per-100000/

• U.S. Department of Health and Human Services. (2015). Better, smarter, healthier: Health Care Payment Learning and Action Network kick off to advance value and quality in health care [Press release]. Retrieved from http://www.hhs.gov/news/press/2015pres/03/20150325b.html

• Universal Health Care Foundation of Connecticut. (n.d.). Retrieved from http://www.universalhealthct.org

Reference no: EM131245001

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