Lookback Edition

National Scorecard on Payment Reform 2.0 – Lookback Edition

Introducing the Lookback Edition to the National Scorecards on Payment Reform 2.0

The National Scorecard (Lookback Edition) includes data from multiple years (2012, 2013, 2016, & 2017), using the 2.0 methodology to highlight year over year trends in commercial payment reform and quality and affordability indicators from the same time period. The Lookback Edition includes data previously published in the 2013, 2014, 2017, and 2018 National Scorecards, all of which can be downloaded from the Scorecards on Payment Reform page.

A brief overview of CPR’s National Scorecards on Payment Reform

CPR created the first national mechanism to track the implementation of payment reform in 2012.  The 2013 National Scorecard on Payment Reform, released in March 2013, and the 2014 National Scorecard on Payment Reform, released in September 2014, set a baseline for the implementation of payment reform nationally in the commercial market.

In 2018, with funding from the Robert Wood Johnson Foundation, CPR evolved its approach with Scorecard 2.0. Scorecard 2.0 continues to measure how much payment reform there is and of what type.  But 2.0 examines additional metrics to help shed light on whether there is any change to health care quality and affordability across the health care system as the approach to payment is changing. In December 2018, CPR received an additional grant from the Robert Wood Johnson Foundation to apply the 2.0 approach to national data and gauge the progress since CPR began tracking it.

Has payment reform delivered on its promise of higher-quality, more affordable health care?

CPR’s Scorecard 2.0 methodology seeks to explore this question by bringing together payment reform data side by side with quality and affordability results. The data is in, and here’s what we found: there’s been tremendous growth in payment reform but not as much to show for it as one would like. The Lookback Edition serves as a call to action: the health care marketplace must work harder to make sure payment reform arrangements are set up address high and rising costs and have the potency to empower health care providers to manage health outcomes at the population-level and assume financial risk for their performance. Learn more about the results by reading the press release.


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