Towards a Multi-Stakeholder Approach to Value-Based Payment

MACRA. QPP. MIPS. Value-based payment. If you feel lost in the sea of acronyms, reporting requirements and systems-level change, you aren’t alone. Years of ongoing effort to transform the healthcare system – including the development of Coordinated Care Organizations and hundreds of primary care practices becoming recognized Patient-Centered Primary Care Homes – are now matched with Medicare’s move to paying for high-value care.

While there is general agreement that the cost of healthcare is unsustainable and the way we pay for healthcare should change, providers, health plans and others face significant barriers to develop, implement and sustain new payment models. There are innumerable intricacies and nuances, including concerns about who wins and who loses, and challenges getting the data necessary to adequately inform and test new models or fully accept accountability for improving quality or reducing cost. All of these factors are swirling while practices and others work hard to ensure the highest quality care and patient satisfaction are maintained or improved.

All too often, stakeholder groups are working to address these challenges within their sphere – be it their practice, organization, or network – despite the fact that changes in one part of the system have an impact on the others, and sustainable change must include consideration of how all these changes work together.

To encourage a more multi-stakeholder approach, Q Corp and the Oregon Medical Association are hosting a conference in June – Oregon MACRA Playbook Conference: Medicare’s Quality Payment Program and the Move to Value-Based Care. Attendees can expect to get the latest information on the Medicare Quality Payment Program, and have the opportunity to network and learn about the move towards value-based and alternative payment methodologies overall. Guest speakers include Elizabeth Mitchell from the Network for Regional Healthcare Improvement and Nancy L. Fisher, MD, MPH, CMS Region 10 Chief Medical Officer. Numerous healthcare professionals from Oregon health systems and independent practices will be featured on panels, and local content experts will offer workshops on the Merit-based Incentive Payment System (MIPS) and alternative payment methodologies. Whether you are a primary care provider or specialist, physician or administrator, health plan or employer, or simply interested in where payment reform is headed, this event is for you. We look forward to seeing you there.

Mylia Christensen is the Executive Director of Q Corp and HealthInsight Oregon, organizations working on a variety of statewide healthcare transformation, transparency and affordability projects that engage stakeholders across the healthcare sector. In 2016 she joined nearly 100 other invited healthcare experts at the Network for Regional Healthcare Improvement’s National Payment Reform Summit sponsored by the Robert Wood Johnson Foundation, which produced a detailed report of related recommendations. If you have questions about our upcoming conference, please email us at