April 06, 2016
Engaging with commercial payers is a critical component of achieving multi-payer alignment in payment and delivery system initiatives.
This recently released issue brief outlines several key considerations for states on this topic:
- -Recognizing the other challenges that commercial payers are facing;
- -Focusing on shared big picture objectives rather than alignment at a very detailed level;
- -Recognizing that multi-payer alignment and delivery system reform are long-term processes that require long-term commitments;
- -Having clear definitions of success; striving for consistency while retaining flexibility for experimentation and innovation; and understanding that commercial payers may be resistant to some of the types of changes states are seeking.
This paper was produced by SHADAC with support from the Center for Medicare & Medicaid Innovation (the Innovation Center). SHADAC is part of a team led by NORC at the University of Chicago that serves as the State Innovation Models (SIM) Resource Support Contractor. SHADAC and other technical assistance partners support states and the Innovation Center in designing and testing multi-payer health system transformation approaches.