Canadian Unemployment: Lessons from the 80s and Challenges for the 90s
In: Canadian public policy: Analyse de politiques, Band 19, Heft 1, S. 104
ISSN: 1911-9917
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In: Canadian public policy: Analyse de politiques, Band 19, Heft 1, S. 104
ISSN: 1911-9917
In: Medical care research and review, Band 73, Heft 4, S. 437-457
ISSN: 1552-6801
This article develops a conceptual framework for implementation of value-based payment (VBP) reform and then draws on that framework to systematically examine six distinct multi-stakeholder coalition VBP initiatives in three different regions of the United States. The VBP initiatives deploy the following payment models: reference pricing, "shadow" primary care capitation, bundled payment, pay for performance, shared savings within accountable care organizations, and global payment. The conceptual framework synthesizes prior models of VBP implementation. It describes how context, project objectives, payment and care delivery strategies, and the barriers and facilitators to translating strategy into implementation affect VBP implementation and value for patients. We next apply the framework to six case examples of implementation, and conclude by discussing the implications of the case examples and the conceptual framework for future practice and research.