Scorecard on Payment Reform 2.0

The Affordable Care Act has spurred great movement toward reform of our health care system and significant efforts are underway not only to expand access to health care, but also to change how we deliver and pay for it. As such, large-scale payment reforms have been implemented as stakeholders seek better value from the care delivered. As these payment reforms continue to grow in variety and number, there is hope that the overall costs of care will decrease, while the quality of care and the outcomes associated with that care, will improve.

Despite these expectations, to date, a comprehensive assessment of payment reforms and their ability to create value in the health care system has not been done. As payment reform becomes more and more widespread, it will be imperative to gauge its impact on achieving the goals for health care costs and outcomes.

Building on our National and State Scorecards on Payment Reform, Catalyst for Payment Reform (CPR) has received grants from the Laura and John Arnold Foundation and the Robert Wood Johnson Foundation to support this undertaking. The ultimate, long-term goal of this project is to improve the health and health care of all Americans through helping purchasers in both the private and public sector track the nation's progress on payment reform, as well as any high level indicators of its impact on the cost and quality of health care.

The next iteration of a Scorecard on Payment Reform—or "Scorecard 2.0" —will determine:

  • how much, what types and combinations (hybrids) of payment reforms have been implemented, and
  • whether these payment reforms are having their intended impact on the quality, efficiency and cost of health care for both the commercial and Medicaid sectors.

Scorecard 2.0 will determine the level of saturation of payment reform in the current marketplace (commercial and Medicaid), what types of reforms make up this percentage (bundled payment, capitation, pay-for-performance, and others), and the prevalence of payment reform hybrids (combinations of fee-for-service, capitation, P4P, and others).

The objectives of this project are to:

  • Develop an architecture for Scorecard 2.0 that adds quality and efficiency metrics to existing scorecard metrics, and reflects the reality of the market today.
  • Build a new platform to collect data in the Scorecard 2.0 format.
  • Pilot Scorecard 2.0 with three states to test the viability of the new methodology and to produce additional regional insights into the progress of payment reform in the United States.

For more details on the project please contact Andrea Caballero at This email address is being protected from spambots. You need JavaScript enabled to view it..

Read the media release.

Read about previous scorecards.