Creating a Value-Based Health Care Delivery System: Implications for Policymakers

1. Reduce regulatory obstacles to care coordination and integration across the care cycle like the Stark and anti-kickback laws, HIPAA, and EMTALA
2. Create a national framework of health care outcome registries and a path to universal measurement and public reporting
3. Link reimbursement to clinical performance using outcome reporting
4. Set accounting standards for meaningful cost reporting in health care
5. Accelerate the bundled pricing rollout schedule in CMS
6. Introduce minimum volume standards by medical condition for hospitals and providers
7. Encourage rural providers to affiliate with qualifying centers of excellence for more complex care and fully integrate telemedicine in care networks by eliminating state-based licencing requirements for providers
8. Set standards for common data definitions, interoperability, and the ability to easily extract outcome, process, and costing measures for qualifying HIT systems