Over the past year, the nation's longstanding health care debate both clarified and highlighted much of the current thinking about broad solutions to improving our current system. There is general agreement that the cost of health care cannot continue its current trajectory. Policy-makers recognize that the nation faces significant health care quality and safety problems, and health professionals and health care consumers need widely-available public information about the cost and quality of care in order to make sound decisions. There is also broad agreement that we should be paying for high-value care rather than high volumes of care, and that it is essential that we strive for more coordination and accountability in health care. We are interested in promoting learning and knowledge about innovative efforts that address these health care quality and value problems. The purpose of this solicitation is to study such efforts in the following specific areas, in order to understand how they may lead to better health care quality and lower costs:
Payment reform is critical if health care is to deliver sustainable high-value care. We anticipate a separate funding initiative to study payment reform efforts and will not entertain payment reform-oriented proposals. Projects may include short-term evaluations of local, state or federal policy changes or private sector innovations by employers, health plans or others. They may also include research and policy analysis that demonstrate the likely effect of projects in the above areas. We are also interested in supporting public opinion research that provides quantitative and qualitative insights into what Americans think about these concepts, as well as other potential changes in the way health care is paid for in America (e.g., paying health care providers for quality of outcomes vs. the current practice of paying for quantity of services). |
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