Paying for Care

Section 1115 Medicaid demonstrations are being used to test alterations in Medicaid’s eligibility, service delivery and its potential role in achieving broader social aims. Experts outline recommendations to ensure evaluations of these demonstrations produce robust results and create usable knowledge.

Financial alignment across the health care and social services sectors is a promising strategy to encourage collaboration to improve population health. This paper, commissioned by AcademyHealth's Payment Reform for Population Health program, outlines two approaches for aligning incentives: parallel risk and hierarchical risk.

In collaboration with AcademyHealth’s Payment Reform for Population Health project, a team at Northeastern University conducted four case studies of cross-sector community-level population health improvement efforts focused on addressing social determinants of health.

In collaboration with AcademyHealth’s Payment Reform for Population Health project, a team at Northeastern University conducted four case studies of cross-sector community-level population health improvement efforts focused on addressing social determinants of health.

A trusted convener, agreed upon by community partners to serve as an organizing entity, can foster relationship building and facilitate payment reform for population health.

Funding sources, financing strategies, and payment models can all influence a health system’s consideration to invest in or fund non-clinical population health.

Sufficient data infrastructure across health systems and community social service providers support the management of a collaborative partnership’s community-wide population health improvement efforts.

The need for alignment across sectors, cultures and goals is crucial to support a collaborative partnership’s community-wide population health improvement efforts.

Individuals in Medicaid expansion states experienced positive results across multiple dimensions of personal finance including a reduced likelihood of new medical collections, decreased risk of medical out-of-pocket expenditures, and fewer ultimately unpaid medical bills.