New payment models and benefit designs will change how the American health care system pays for and delivers care. With support from the Laura and John Arnold Foundation, the Duke-Margolis Payment Reform Evidence Hub aims to encourage more and better evaluations of these new models. The Hub specifically focuses on innovative payment reforms in areas where evaluations are particularly needed. These gap areas include payment reforms being implemented by private payers, commercial stakeholders, and states that often have limited resources for conducting independent evaluations on their own. Better evidence and a more diverse evidence base will allow for better understand about what works and what does not and help speed the transition to paying for value in health care.
To gather input, the Hub has held a series of public meetings and sessions with its working group. It has also been working collaboratively with the Health Care Payment Learning and Action Network (LAN). So far, the Hub has built a clearinghouse containing an inventory of payment reform evaluations, identifying where work is particularly needed. We will continue updating the inventory to reflect progress in the field.
The Hub is also working to increase the capacity for implementing evaluations. There is widespread interest from all sectors in addressing gaps, but often not enough financial resources or manpower to address the variety of barriers that can keep an organization from carrying out an evaluation.
These activities will result in white papers that summarize the lessons learned, which will be disseminated broadly. The Hub is also pursuing evaluations of several promising payment and delivery reforms across the state and commercial sectors.