Advancements in Care Delivery

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Despite the best medical advances and ongoing cutting edge research, our current health care system is not designed to help individuals consistently receive the best care available, engage communities in advancing healthy lifestyles, and control health care costs. Overutilization of services with questionable benefits, underutilization of services frequently needed, and variations across providers in how health care is delivered continue to negatively impact our health care system.

Health plans are working in partnership with physicians, hospitals, and other clinicians to help change the delivery system by offering decision support tools, exchange of key health information that helps providers recognize gaps in care, and innovative payment models that focus on paying for improved patient care and not volume of services provided. Efforts to reform the payment and delivery systems promote prevention and wellness, help patients and physicians manage chronic disease, and reward quality care. These initiatives have demonstrated results in better health outcomes, improved patient safety, fewer preventable hospital readmissions, and lower health care costs. Health plans play a unique role in these partnerships that emphasize collaborations across multiple health care settings.

Latest Resources

New Analysis in Health Affairs Assesses Performance Measures Across Public Private Sectors

A new study in Health Affairs authored by researchers at America’s Health Insurance Plans (AHIP) offers one of the first systematic assessments of health plans’ use of performance measures in payment and delivery models.

Press Releases | Strategic Communications | 08/06/2013

U.S. Map of Alternative Delivery and Payment Models - Private Sector Initiatives - [PDF]

Map of the U.S. showing private sector alternative delivery and payment activity by state – patient centered medical home, accountable care arrangements, bundled or episode of care, and comprehensive global payment models.

Charts | Clinical Affairs | 02/15/2013

Innovative Initiatives to Combat CVD for web - [PDF]

Cardiovascular disease (CVD) is the leading cause of death in the United States, with more than one in four people dying from heart disease every year. People of all backgrounds are affected, and heart disease is influenced by many factors. Research shows a clustering of these factors puts people at increased risk for poor health outcomes.

Reports/Research/White Papers | 09/18/2012

New Analysis in Health Affairs Outlines Framework for Effective Public-Private Sector Collaboration in Payment and Delivery System Reform

As payment and delivery system reform expands across the country, it is critical that public sector initiatives complement and build upon the successful efforts currently underway in the private sector, according to an article in the latest edition of Health Affairs.

Press Releases | Strategic Communications | 09/04/2012

Health Plan Innovations in Worksite Wellness

Health Plan Innovations in Worksite Wellness Health Plan Innovations in Worksite Wellness Americans spend a large part of their day – and their lives – at work. 

Reports/Research/White Papers | Clinical Affairs | 06/19/2012

Immunization Innovations: Plans and Programs

Immunization Innovations Immunization Innovations Welcome to Immunization Innovations , AHIP’s online compendia of pioneering programs and leading best practices for measuring and improving immunization rates.

Fact Sheets/Issue Briefs/Talking Points | Clinical Affairs | 04/19/2012

Transforming Care Delivery - [PDF]

The private sector is improving health care quality and affordability through the use of alternative approaches to transform care delivery. This issue brief highlights key elements of these approaches such as patient-centered medical home, accountable care and bundled/episode-based models that health plans have implemented in partnership with providers.

Fact Sheets/Issue Briefs/Talking Points | Clinical Affairs | 01/11/2012

AHIP’s Flu Outreach Campaign Flyer - [PDF]

Each year more than 200,000 people are hospitalized from flu. Dont let the flu interrupt your time together. 

PSA | 10/03/2011

Health Plans and Providers Partnering to Advance Accountable Care

New health care delivery and payment models in the private sector are being shaped by active collaboration between health insurance plans and providers, according to a new study by America’s Health Insurance Plans (AHIP) that appears in the September edition of Health Affairs.

News Articles | Strategic Communications | 09/08/2011