Making the Business Case for Payment and Delivery Reform

Presentation Slides

Overview: In order to support improvements in both health care delivery and payment systems, individuals and organizations that purchase health care services need a clear business case showing that the proposed change in care will achieve sufficient benefits to justify whatever change in payment health care providers may need to support the change in care. Health care providers also need a clear business case showing that they will be able to successfully deliver high-quality care in a financially sustainable way under the new payment system. In this webinar, Harold D. Miller describes a 10-step process to develop such a business case, and he shows how to apply the process to specific examples. He also describes the four major types of data that are needed to inform the business case design process.

This webinar is offered in conjunction with the recent publication of a related issue brief, which can be found on the Robert Wood Johnson Foundation's payment reform web page.

Faculty: Harold D. Miller: Strategic Initiatives Consultant, Network for Regional Healthcare Improvement (NRHI), and President/CEO, Center for Healthcare Quality and Payment Reform

Learning Objectives: This webinar provides valuable information for those who are working to develop payment structures within an ACO or total cost of care models. It also outlines ways to develop win-win-win solutions for providers, purchasers, and patients to achieve and enjoy the benefits of payment and delivery system reform.

Course Level: 101 (Introductory)

Registration Price: Free

System Requirements:This webinar series was conducted using Adobe Connect, and can be accessed through any major internet browser. The latest version of Adobe Flash Player is required to view these webinars. Download Adobe Flash Player for free.

Please contact AcademyHealth if you have any questions.

Faculty Bio:

Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform. Miller has been working at the local, state, and national levels on initiatives to improve the quality of healthcare services and to change the fundamental structure of healthcare payment systems in order to support improved value. Miller also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University. Miller also serves as the Strategic Initiatives Consultant to the Network for Regional Healthcare Improvement (NRHI), the national association of Regional Health Improvement Collaboratives, after serving as President and CEO of NRHI from 2008 through 2013.

Miller is a nationally-recognized expert on healthcare payment and delivery reform, and has given invited testimony to Congress on how to reform healthcare payment. He has authored a number of papers and reports on health care payment and delivery reform, including “From Volume to Value: Better Ways to Pay for Healthcare,” which appeared in the September 2009 issue of Health Affairs, the Center for Healthcare Quality and Payment Reform’s reports How to Create Accountable Care Organizations, Transitions to Accountable Care, and Ten Barriers to Healthcare Payment Reform and How to Overcome Them, the Massachusetts Hospital Association’s report Creating Accountable Care Organizations in Massachusetts, and the American Medical Association’s report Pathways for Physician Success Under Healthcare Payment and Delivery Reforms.

Miller serves on the Board of Directors of the National Quality Forum, and he has represented the Network for Regional Healthcare Improvement on the National Priorities Partnership.