The following organizations offer additional research, tools, and resources regarding value-based care and alternative payment models.
TMA has no control over these websites or the information, goods, or services provided by third parties. TMA shall have no liability for any use or reliance by a user on these third-party websites or the information provided therein. The use of and information provided to a third-party website may be subject to the terms of the third-party website, including those relating to confidentiality, data privacy and security.
Agency for Healthcare Research/Quality (AHRQ)
AHRQ is the lead federal agency charged with developing knowledge, tools, and data to improve the U.S. health care system and to help consumers, health care professionals, and policymakers make informed health decisions. Congress mandates the agency’s annual National Healthcare Quality and Disparities Report to overview the quality of health care received by the general U.S. population.
American Medical Association
The move from traditional fee-for-service care models to new payment and delivery models dictates that physicians reevaluate how quality measures and payments are linked to outcomes. AMA offers tools to help adapt care delivery models to improve quality and reduce practice costs.
America’s Physician Groups (APG)
APG represents and supports physician groups that assume responsibility for clinically integrated, comprehensive, and coordinated health care on behalf of their patients. Its mission is to assist accountable physician groups in improving the quality and value of health care provided to patients.
Center for Medicare & Medicaid Services Innovation Center (CMMI)
CMMI develops and tests new health care payment and service delivery models to (1) improve patient care, (2) lower costs, and (3) better align payment systems to promote patient-centered practices.
Health Care Payment Learning & Action Network (LAN)
LAN is an active group of public and private health care leaders dedicated to providing thought leadership, strategic direction, and ongoing support to accelerate adoption of alternative payment models.
Health Care Cost Institute (HCCI)
HCCI is a nonprofit, independent research group with a comprehensive database of commercially insured individuals, paired with access to Medicaid and Medicare data. HCCI is accessed by researchers, policymakers, and journalists seeking information on what is driving health care spending in the U.S.
The Medicare Payment Advisory Commission (MedPAC)
MedPAC is an independent congressional agency established by the Balanced Budget Act of 1997 to advise the U.S. Congress on issues affecting the Medicare program. In addition to advising Congress on payments to private health plans participating in Medicare and to physicians and health care providers in Medicare’s traditional fee-for-service program, MedPAC provides information on access to care, quality of care, and other issues affecting Medicare.
National Association of ACOs (NAACOS)
NAACOS is a member-led and member-owned nonprofit of more than 400 accountable care organizations (ACOs) in Medicare, Medicaid, and commercial insurance working on behalf of health systems and physician provider organizations across the nation to improve quality of care for patients and reduce health care cost.
PACES Center for Value in Health Care
The PACES Center is a not-for-profit organization leading an initiative to achieve greater transparency in health care spending through the creation, dissemination, and maintenance of a set of resources in the public domain collectively known as the Patient-Centered Episode System (PACES). This includes standard grouping logic, clinical specifications, and supporting documents to organize or “group” administrative data into clinically meaningful episodes of care. These episodes will form a new, open-source standard for price analysis, built upon community-sourced clinical expertise.
Physicians Advocacy Institute (PAI)
PAI is a not-for-profit 501(c)(6) advocacy organization established with funds from the multi-district litigation class action settlements against major national for-profit health insurers. The group’s work centers on helping physicians navigate complex contractual and payment-related issues and supporting state medical associations’ work in these areas through research and development of resources for physician practices.
Physician-Focused Payment Model Technical Advisory Committee (PTAC)
PTAC is an independent federal advisory committee created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The group makes recommendations to the U.S. secretary of health and human services on stakeholder-submitted physician-focused payment models and related topics such as alternative payment models.
Peterson-Kaiser Family Foundation Health System Tracker
The Peterson-KFF Health System Tracker provides clear, up-to-date information on trends, drivers, and issues that impact the performance of the U.S. health care system. It also illustrates how the U.S. is performing relative to other countries and how different parts of the system are performing relative to one another.
The Source on Healthcare Price & Competition
The Source on Healthcare Price & Competition is a project of the University of California Law School-San Francisco. This website tracks state activities impacting health care price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in health care.
Texas Primary Care Consortium
The Texas Primary Care Consortium is a statewide collaborative led by the Texas Medical Home Initiative in partnership with the Texas Health Institute. The group’s website includes a live, interactive dashboard that offers a profile of Texas counties for more than 50 measures across six domains: demographics, health needs, facilities, workforce, health behaviors, and social determinants of health. While neither conclusive nor exhaustive, these profiles are intended to guide and advance primary care and health transformation efforts across Texas.