New Delivery Models

The Consumer-Purchaser Alliance supports new models of care delivery that promote shared accountability through payment that rewards care coordination, efficiency, and patient outcomes.For example, we support accountable care organizations in which providers are paid to become accountable for the overall costs and quality of care for the populations they serve—and share in the savings they create by improving quality and slowing spending growth. Accountable care organizations (ACOs) are networks of physicians, hospitals, and other providers that care for a patient population and assume financial responsibility for the cost of care. ACOs align providers’ financial incentives around reducing increases in health care costs and improving the quality of the care they deliver. CP Alliance also advocates for the ongoing evaluation of new models of care through the use of meaningful quality standards to ensure that goals of greater coordination and efficiency do not lead to sacrifices in quality of care.

May 21, 2015
C-P Alliance Leaders Selected for Payment Reform Guiding Committee
We are very pleased that consumers and purchasers are well represented on the new Guiding Committee for the HHS-led Health Care Payment Learning & Action Network. Debra Ness and David Lansky, who lead C-P Alliance's partner organizations, have been selected as members along with representatives from AARP, CalPERS, the Patient Advocate Foundation, and Caesar's Entertainment. Other members include representatives from health plans and provider organizations with whom we have worked closely for many years. This is an important initiative in the nation's effort to move toward value-based payment, and we are encouraged by the selection of a strong Guiding Committee.
April 16, 2015
New Consumer-Purchaser Alliance Analysis of Accountable Care Organizations Available
Will ACOs deliver on their promise of higher quality and greater value? Read more from C-P Alliance Director Jennifer Eames Huff in the Institute for HealthCare Consumerism's annual OUTLOOK magazine.

March 31, 2015
Consumer-Purchaser Alliance Leaders Share Priorities for New HHS-Led Health Care Payment Learning & Action Network
Last week, HHS launched the new Health Care Payment Learning & Action Network, a public-private collaboration working to transform the nation's health system to emphasize value over volume. C-P Alliance Co-Chairs Bill Kramer and Debra Ness participated in a launch of the Learning & Action Network that included remarks by President Obama, Secretary Burwell, and other key HHS leaders. Following the introductory remarks, Debra spoke on a panel about the need for meaningful partnership with consumers and purchasers as we design new models to transform the health care system. Learn more about the Learning & Action Network on the CMS Innovation Center website here, and see Debra's remarks in the video below.

February 6, 2015
Consumers and Purchasers Respond to ACO Proposed Rule with Targeted Input
13 consumer and purchaser organizations responded to CMS's proposed rule on the Medicare Shared Savings Program (MSSP) for ACOs. Their comments (please follow link) emphasized opportunities to drive payment and delivery transformation, patient engagement, accountability, improvement, and public-private sector alignment. To learn more about C-P Alliance's work related to ACOs, please see the materials and recording from our January 2015 discussion forum.

July 25, 2013
The Results Are In: Promising Performance among Pioneer ACOs Despite Inevitable Challenges
In this Health Affairs blog, C-P Alliance Co-Chairs reflect on the encouraging results from the first year of testing Accountable Care Organizations (ACOs), including evidence of improved quality and reduced costs.

December 27, 2011
CP Alliance Co-Chairs Blog for Health Affairs, Applauding the Launch of the Pioneer Affordable Care Organizations Program
Recognizing that it is too soon to predict the effectiveness of the Pioneer ACO model—or ACOs in general—the CP Alliance Co-Chairs applauded the launch of the ACO program by the Center for Medicare and Medicaid Innovation (CMMI) because of its financial incentives, requirements for the meaningful use of electronic health records (EHRs), encouragement of public-private alignment, and (4) emphasis on prospective identification of ACO patients. Their blog post, “Pioneer ACOs: Moving Toward Needed Transformation In Health Care” is their third in a series of ACO-related blog posts for Health Affairs.

October 27, 2011
CP Alliance Co-Chairs Blog for Health Affairs, Discuss Final Accountable Care Organizations Rule
CP Alliance Co-Chairs Bill Kramer and Debra Ness released a post, titled "Welcome Progress, But the Final Verdict on ACOs Is Yet to Come" on the Health Affairs blog. In it, they welcome the final ACO rule but warn that "the real measure of success will be whether successful ACOs are soon in place, providing better-coordinated, more patient-centered care for millions of patients and giving us all a way to get better value for our health care dollars." They also note shortcomings of the final rule and concerns from the consumer and purchaser perspective.

September 23, 2011
CP Alliance Co-Chairs Blog for Health Affairs on the New Accountable Care Organization Model Delivery of Care
Describing ACOs as "a model of care that incentivizes medical groups and hospitals to reduce costs while providing high-quality care," CP Alliance Co-Chairs Bill Kramer and Debra Ness released their post, titled "New Approaches In A New World, Starting With ACOs" on the Health Affairs blog. They explain that ACOs can help patients and save money through care coordination, as long as high standards are maintained.

August 8, 2011
Consumers and Purchasers Commend Release of Medicare Data for Performance Reports and Call for Broad Availability
Thirty-eight consumer and purchaser organizations voiced their strong support for CMS releasing Medicare Data for performance reporting. The organizations called for permitting the broadest possible use allowed under the law to achieve the greatest public benefit, while protecting patient privacy and data security, and also recommended making the data more affordable, especially for non-profit organizations. On September 20, 2011, the Wall Street Journal published an opinion piece from PBGH Medical Director Arnold Milstein and CP Alliance member Robert Krughoff, along with George Shultz echoing CP Alliance's August comment.

June 6, 2011
Consumers and Purchasers Applaud Proposed Rules for Medicare Shared Savings Program and Provide Recommendations for Monitoring Anti-competitive Behavior
CP Alliance– with 25 signatories – applauded CMS' proposed rule on Medicare Shared Savings Program for ACOs and urged the agency to take further steps to ensure that ACOs provide health care that is patient-centered, high quality and affordable.CP Alliancealso urged CMS to include additional provisions to keep the health care marketplace competitive. One week prior,CP Alliance sent a letter with 22 signatories to the Federal Trade Commission (FTC) and the Department of Justice (DOJ) in response to their proposed antitrust guidelines for ACOs.

December 3, 2010
Weighing in on CMS' Implementation of ACOs
CP Alliance submitted a comment letter in response to questions posed by the Centers for Medicare & Medicaid Services on Accountable Care Organizations (ACOs). CP Alliance advocated for ACOs to be evaluated on a core set quality and cost measures. We also recommended CMS work in partnership with the private sector to result in greater change.

November 19, 2010
Setting Standards for Accountable Care Organizations (ACOs)
CP Alliance commented on NCQA's proposed ACO Criteria for 2011. If done right, ACOs could increase quality and affordability of care. We encouraged NCQA to strengthen its standards around performance measurement and cost containment to help assure these aims are achieved.


July 2, 2010
Setting Standards for Medical Homes
CP Alliance commented on NCQA's proposed Patient-Centered Medical Home Standards for 2011, which serve as a standardized tool for assessing whether physician practices have the systems and processes in place needed to support a patient-centered medical home (PCMH). Our comments appreciate the significant progress NCQA has made in enhancing its standards, but also underscore the importance of improving them to make patient experience and meaning use "must pass" elements to receive recognition for having the capabilities of a PCMH.


May 25, 2010
Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs
Resources and Background Materials

Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs
David Lansky, Co-Chair, Consumer-Purchaser Alliance and President and CEO, Pacific Business Group on Health

Models of Accountable Care: Medical Home, Episodes and ACOs – Making it work
Elliot Fisher, Director, Population Health and Policy, The Dartmouth Institute for Health Policy and Clinical Practice

Accountable Care Organizations: Taking Shape at the Local Level
Development of Vermont ACO Pilots: Community Health Systems To Control Costs and Improve Health
Jim Hester, Director of the Health Care Reform Commission in Vermont

ACOs: A Health Plan Perspective
Kirk Stapleton, Sr. Vice President, Network Planning UnitedHealth Networks

Federal Implementation/Reaction
Jon Blum, Director, Center for Medicare Management, Centers for Medicare and Medicaid Services (no PowerPoint slides)

October 17, 2007
The Medical Home and Physician Payment Reform
Resources & Background Material

The Medical Home and Physician Payment Reform
Resources and Background Materials, October 2007

Overview of the Medical Home and Physician Payment Reform
Peter Lee, Consumer-Purchaser Alliance

The Patient Centered Medical Home: A New model for Primary and Principal Care
John Tooker, Executive Vice President and Chief Executive Officer of the American College of Physicians (ACP)

Patient-Centered Medical Home: Knowing When We See One
Greg Pawlson, Executive Vice President of the NCQA

Medical Home Demonstrations: Rhode Island Experience
Deidre Gifford, Chief of Health Policy and Programs, Quality Partners of Rhode Island

Medical Home Demonstrations: Private Health Plan
Lisa Latts, Vice President, Programs in Clinical Excellence for WellPoint, Inc.

Medical Home Demonstrations: CMS and Federal Initiatives
Linda Magno, Director of the Medicare Demonstrations Group in the Office of Research, Development and Information at the Centers for Medicare and Medicaid Services


*Please note: the above are highlights for this topic. Please use the search function to find more materials.