The Health Care Transformation Task Force developed Principles for Prior Authorization Policies in Value-Based Care Arrangements to improve the prior authorization process for payers and providers as they implement and refine value-based care arrangements. Current prior authorization policies impose significant burdens on patients, providers, and...
The Health Care Transformation Task Force developed Principles for Sustainable Benchmarking in Value-Based Care, a resource that seeks to (1) align payment with the goal of delivering efficient, high-quality, equitable, and patient-centered care, (2) support ongoing investment in care delivery innovations, and (3) offer actionable...
The Health Care Transformation Task Force’s Maternal Health Hub, supported by the Commonwealth Fund, is pleased to release “Evolving the Maternal Health Quality Measurement Enterprise to Support the Community-Based Maternity Model.” This issue brief examines the historical emphasis on clinical quality measurement in maternity care...
The Health Care Transformation Task Force’s Maternal Health Hub, supported by the Commonwealth Fund, convened a meeting of maternity subject matter experts and CMS/CMMI leadership in 2022 to discuss payment and delivery strategies that would support a maternity model that addresses the ongoing racial and...
The Health Care Transformation Task Force is excited to announce the release of Building the Business Case for Health Equity Investment: Strategies to Secure Sustainable Support (Business Case). This resource offers concrete and practical information for how to bring health care organizations’ leadership on board...
The Maternal Health Hub, run by the Health Care Transformation Task Force and supported by the Commonwealth Fund, released an issue brief titled “Using Managed Care Organization Contracts as a Lever to Address Health Equity in Maternity Care” which describes innovative ways states are using...
Successful value-based contracting arrangements rely on payers and providers accurately assessing needs, identifying resources, building relationships, and negotiating mutually beneficial contracts. Since our launch in 2014, the Task Force has worked to develop practical resources designed to support organizations in implementing successful value-based payment (VBP)...
The passage of the Affordable Care Act in 2010 spurred a decade of payment reform efforts intended to shift the health care system from volume-driven Fee-For-Service payments to alternative payment models (APMs) with reimbursement linked to quality and outcomes. A principal goal of these efforts...
The COVID-19 pandemic and public health emergency swiftly disrupted the health care industry in the United States and globally. Health care systems participating in traditional fee-for-service medicine saw a precipitous drop in patients seeking care, starving them of revenue at the exact moment they needed...
The Health Care Transformation Task Force developed the Alternative Payment Model (APM) Roles and Responsibilities Matrix as a resource to support payer, provider, and purchaser efforts to clearly identify and assign roles and responsibilities for common APM workstreams and activities. The goal of the matrix...