Workstream 2: Funding and Accountability
Health financing that drives individual and community health and well-being.
Problem Statement
Most medical care is still billed by individual units of service, and therefore encourages more services, higher costs, and narrower perspectives than may be necessary for the circumstances. This exacerbates care and system fragmentation that leads to higher expenditures and performance shortfalls, and, in effect, often discourages care continuity, effectiveness, efficiency, equity, and improvement in the health of communities.
Workstream Charge
The Health Financing and Accountability workstream will uplift alignment challenges, opportunities, and impacts related to financial incentives that reward the achievement of individual and community health goals. Workstream members will produce a background paper that will inform Commission deliberations on the associated opportunities, priorities, and implications dependent on correcting the alignment of values, incentives, policies, and actions.
The paper will:
- review U.S. health system status and trends for financial incentives and accountability for health;
- describe how misaligned incentives and poor accountability contribute to a multitude of system shortfalls;
- identify salient contributors to the problem;
- identify accountability disconnects;
- estimate the health and economic costs of maintaining the status quo;
- estimate the potential health and economic gains to health system stakeholders and/or society from financial incentives and accountability for health;
- identify legal, regulatory, or cultural levers to drive the change from where we are now to a better future state; and
- describe promising strategies for marshaling the will to deploy the necessary levers at the right place, at the right time.
Workstream Members
Chairs
Ex officio (Value Incentives and Systems Action Collaborative co-chairs)
Members
Contact Information
Questions?
For additional information on workstream activities, contact Amanda Hunt ([email protected]).
