Elements That Support Payment Reform for Population Health: Payment and Financing Models
This publication outlines issues around one of the key elements influencing the payment reform’s ability to support population health: payment and financing models.
This issue brief outlines the three primary funding and financing mechanisms that can support community-wide population health initiatives: community benefits, operational funds, and reimbursement streams, all with their own benefits and challenges.
The payment and financing foundational element was identified and informed by a multitude of interviews with key informants, thought leaders, health systems, and other community organizations immersed in these discussions. We recognize many other organizations and initiatives are exploring the multitude of issues related to financing and funding non-clinical services and infrastructure in support of improving community-wide population health.
- Bridging for Health: Improving Community Health Through Innovations in Financing
- ReThink Health Ventures
- State Health and Value Strategies
- Democracy Collaborative
- NRHI. Accelerating the Implementation of Value-Based Care and Payment: Recommendation from the 2016 National Payment Reform Summit. (Sessions 1 & 2)
- CHCS. State Payment and Financing Models to Promote Health and Social Service Integration
- CHCS. Using Medicaid Resources to Pay for Health-Related Supportive Services: Early Lessons
AcademyHealth’s Payment Reform for Population Health initiative identified four major elements that influence the way health care purchasers, plans, and providers can support sustainable funding strategies that bolster non-clinical community-wide population health. These elements include shared data collection, analysis and evaluation, a trusted environment where collaboration across sectors is possible, alignment of clinical and community resources, and payment and financing models that incentivize investments in social determinants of health. To learn more, click here.