Payment Reform Summit 2017

Mayo Clinic & Arizona State University Alliance for Health Care Payment Reform Summit 2017

January 2017 marked the beginning of a new year, a new administration and a new opportunity to provide thoughtful input as the United States continued the discussion surrounding health care reform.

To inform the development of alternative payment models that ensure access to — and sustainability of — high-quality health care in the U.S., the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery and the Arizona State University School for the Science of Health Care Delivery came together to host a summit on access and alternate payment.

Invited participants examined scientific data from Mayo Clinic and other institutions. They considered the needs of patients — including those with complex illnesses — while examining data drawn from a number of sources, and sought to identify the impact of various payment models on patient access and patterns of health care utilization.

Alternative payment models and topics that summit attendees explored include:

  • Evidence on the various forms of risk sharing. Forms included bundling, accountable care organizations and shared savings programs.
  • Patient attribution modeling. Participants analyzed various attribution methodologies to ensure both accuracy in assigning, and calculating cost of, patients to providers for care management purposes.
  • Costs. A major goal of the summit was to determine the most effective way to measure total cost of care, clinical performance and final performance.
  • Measures necessary to truly award value. The summit was aimed at the creation of valid quality and effective measures that reflect outcomes, patient experience, and clinical and financial performance.

The summit produced findings to inform decision-makers throughout the health care payment and policy arena, and intelligence for use in curriculum development to educate the next generation of leaders in the science of health care delivery. The resulting white paper includes guiding principles to inform the conversation on the next design phase of value-based care delivery and reimbursement.

Participants included 27 of the nation's top thought leaders from across the industry, health care providers and payers, and government and patient advocacy organizations. The group's discussions were led by moderator Clifford Goodman, Ph.D., and focused on determining emerging topics in payment reform and capturing an unparalleled understanding of the subject.


Jacquelyn J. Gosse, M.A.