Emerging Lessons From Regional and State Innovation in Value‐Based Payment Reform: Balancing Collaboration and Disruptive Innovation

Douglas A. Conrad, David Grembowski, Susan E. Hernandez, Bernard W. K. Lau, Miriam Marcus‐Smith · 2014 · Milbank Quarterly

Summary. Value-based payment reform projects across six U.S. states succeeded when multistakeholder coalitions had trusted leadership, external funding, and supportive regulatory environments. Key barriers included incompatible information systems, competing stakeholder priorities, and misalignment between payment models and care delivery. Successful reform required an honest broker to convene stakeholders, change management expertise, and community health infrastructure alongside pressure from payers and providers.

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@article{conrad-2014-emerging-lessons-regional-state-innovation,
  title   = {Emerging Lessons From Regional and State Innovation in Value‐Based Payment Reform: Balancing Collaboration and Disruptive Innovation},
  author  = {Douglas A. Conrad and David Grembowski and Susan E. Hernandez and Bernard W. K. Lau and Miriam Marcus‐Smith},
  journal = {Milbank Quarterly},
  year    = {2014},
  doi     = {10.1111/1468-0009.12078},
  url     = {https://doi.org/10.1111/1468-0009.12078}
}

TY  - JOUR
TI  - Emerging Lessons From Regional and State Innovation in Value‐Based Payment Reform: Balancing Collaboration and Disruptive Innovation
AU  - Douglas A. Conrad
AU  - David Grembowski
AU  - Susan E. Hernandez
AU  - Bernard W. K. Lau
AU  - Miriam Marcus‐Smith
JO  - Milbank Quarterly
PY  - 2014
DO  - 10.1111/1468-0009.12078
UR  - https://doi.org/10.1111/1468-0009.12078
ER  - 

Details

DOI

10.1111/1468-0009.12078

Countries

United States

Regions

North America

Categories

policy, rural-healthcare, general-innovation

Added

2026-04-28