Payment and Delivery System Reform

A combination of factors necessitates reforms to the health care payment and delivery systems. These include unsustainable public and private health care spending growth, an increased prevalence of chronic health conditions, and rising demand for health care services due to the aging of the population and the expected growth in the number of people with health insurance. The goals of reform are aptly summarized by the “Triple Aim”: improving the individual experience of care, improving the health of populations, and reducing the per capita cost of care. The Affordable Care Act and other health care reform initiatives have incentivized increased integration and coordination of care delivery. New models of delivery are being tested, such as accountable care organizations and patient-centered medical homes. New payment methods to reduce the prevalence of fee-for-service reimbursement will also increasingly appear such as the use of bundled payments. Resources related to these topics may be found on this page. In addition, please visit AOTA’s Primary Care resource page for more information about our initiatives related to developing a role for occupational therapy in primary care.