Healthcare Value and Payment Innovations

In today's health care system, nearly every stakeholder is focused on delivering greater value. Better health outcomes for patients and greater efficiency in health care delivery and health care spending are over-arching goals. NEHI's research and policy agenda reflects the multiple approaches that NEHI member organizations are now taking towards realizing higher value in U.S. health care, from alternative payment models for provider reimbursement, to value-based arrangements between health care payers and pharmaceutical and device manufacturers, to patient engagement initiatives designed to bring greater equity and patient focus to the care experienced by patients every day.

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  • March 1, 2012

    Exploring Innovative Pricing Arrangements for Biopharmaceuticals

    This Issue Brief discusses critical barriers to expanded use of innovative pricing arrangements, strategies to overcome them and alternative ways to ensure access and continued innovation of biopharmaceuticals.

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  • December 16, 2011

    Bend the Curve: Health Care Leader's Guide to High Value Health Care

    The Health Care Leader's Guide to High Value Health Care provides data to identify where costs can be reduced and offers recommendations for actionable solutions. It also includes real world success stories of health care professionals making important improvements in their organizations. We encourage you to use these tools to educate colleagues, and identify and implement successful solutions to the very real problem of health care waste in your own organizations and communities.

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  • September 22, 2011

    Roadmap to Improved Patient Medication Adherence

    The Roadmap to Improved Patient Medication Adherence outlines a system-wide strategy for making improved adherence an integral part of health reform. The Roadmap, developed by NEHI in collaboration with a broad range of adherence stakeholders, identifies six "golden opportunities" for improving adherence by harnessing and coordinating major policies in health reform with ongoing trends in the health care marketplace.

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  • February 17, 2011

    From Evidence to Practice: A National Strategy for CER Dissemination

    Since the passage of the ACA, NEHI has been examining the potential avenues for CER dissemination, specifically the existing programs of the Agency for Healthcare Research and Quality (AHRQ) and the newly created Patient-Centered Outcomes Research Institute (PCORI). This white paper takes the position that PCORI must elevate dissemination as a priority, above and beyond the level called for in the Affordable Care Act and in the Institute of Medicine’s 2009 report to Congress on CER priorities.

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  • September 23, 2010

    Medication Adherence and Care Teams: A Call for Demonstration Projects

    This report explains why care teams can help improve medication adherence and calls for more research on how to best use care teams in a wide variety of clinical settings.

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  • September 1, 2010

    From Evidence to Practice: Making CER Findings Work for Providers and Patients

    This issue brief identifies a number of major factors found by NEHI research that could influence the creation of a coherent and effective CER dissemination strategy.

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  • March 30, 2010

    A Matter of Urgency: Reducing Emergency Department Overuse

    The overuse of U.S. emergency departments (EDs) is responsible for $38 billion in wasteful spending each year. Given the tremendous opportunity to lower health care costs by addressing this problem, NEHI launched an initiative to examine ED overuse in detail. Through this initiative, NEHI has identified the key factors driving this costly ED overuse, including who overuses the ED, what causes ED overuse and what can be done to reduce it.

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  • January 20, 2010

    Remaking Primary Care: A Framework for the Future

    This report delves into the basis of the current crisis in primary care and offers solutions for the future.

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  • September 10, 2009

    Rx for Health Reform

    NEHI has taken a leading role in informing and influencing the health care debate. The core of this initiative is our policy statement, Rx for Health Reform, calling for containing health care costs by preventing illness, managing chronic diseases and strengthening primary care. These goals can be realized by implementing a series of policy changes known as the NEHI Nine. NEHI supports increasing access to health care of uninsured Americans but believes that a lasting and cost conscious solution requires system-wide reform. If we change the way we finance, organize and deliver care, we can improve quality and save costs for all Americans by preventing illness, managing chronic diseases, and strengthening primary care.

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  • August 12, 2009

    Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease

    This issue brief addresses the root causes of poor patient medication adherence - a significant contributor to overall health care waste - and offers promising solutions to improve adherence, particularly among chronic disease patients.

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