Health Care Innovations Exchange: Value-Based Reimbursement Structures

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AHRQ Health Care Innovations

New Issue Focuses on

Value-Based Reimbursement Structures

The Agency for Healthcare Research and Quality (AHRQ) announces the July 3 issue of the Health Care Innovations Exchange (

  • The featured Innovations describe three programs that implemented value-based reimbursement policies at the State level. One program offered health plans a capitated fee to deliver health care and social services to Medicare/Medicaid dual eligibles, a second adjusted individual hospital payment rates based on specific performance metrics, and a third program rewarded individual hospitals for reducing hospital-acquired conditions.
  • The featured QualityTools provide resources that help health care administrators and providers prepare for performance measurement and reporting to the Centers for Medicare & Medicaid Services, as well as a toolkit that offers guidance for implementing health care-associated infection prevention programs.
  • To access more innovation profiles and tools related to value-based reimbursement on the Innovations Exchange Web site, go to
  • New Expert Commentary
    You Get What You Pay For: The Importance of Value-Based Reimbursement at the State Level
    By Stuart Guterman, Vice President and Executive Director
    Commission on a High Performance Health System, The Commonwealth Fund
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