New SHADAC Issue Brief "Aligning Quality Measures across Payers: Lessons from State Innovation Models"
Currently, an increasing number of states are undertaking payment and delivery system reform, shifting away from fee-for-service reimbursement models that reward quantity and moving toward alternative payment models that reward value. A new issue brief from SHADAC researcher Colin Planalp examines the work of five SIM states to develop common measure sets that align quality measures across private and public payers—a strategy aimed at reducing administrative burdens on providers and giving focus to quality improvement efforts. Drawing from the experiences of Connecticut, Massachusetts, Minnesota, Rhode Island, and Washington—five states that have received State Innovation Model (SIM) awards from the Center for Medicare & Medicaid Innovation (CMMI)—the brief outlines alignment adoption strategies, measure set development and sustainability efforts, and provides a framework for other states considering future quality measure alignment projects.
This paper was produced by SHADAC with support from the CMMI. SHADAC is part of a team led by NORC at the University of Chicago that serves as the SIM Resource Support Contractor. SHADAC and other technical assistance partners support states and the Innovation Center in designing and testing multi-payer health system transformation approaches.
The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.