Creating a Payment System That Supports High Quality, Affordable Health Care

The Center for Healthcare Quality and Payment Reform (CHQPR) is a national policy center focused on designing and implementing payment systems that support affordable, patient-centered health care.

Glossary Wordle
Confused by the Jargon?

Payment Reform for Health Care

Barriers to Affordable, High-Quality Care

The payment systems and benefit designs currently used by Medicare and health insurance plans make it difficult or impossible for healthcare providers to deliver high-quality, affordable care to patients.

Learn More

Why Value-Based Payment Isn't Working

Current “value-based payment” systems fail to fix the problems with fee-for-service payment. They can make healthcare less affordable and accessible for patients, force small providers to close, and exacerbate disparities in care.

Learn More

Creating Successful Alternative Payment Models

Alternative Payment Models (APMs) can be designed to improve patient care and provide adequate payments for small healthcare providers while controlling total healthcare spending.

Learn More

Patient-Centered Payment


Patient-Centered Payment would ensure that every patient receives appropriate, evidence-based care for their health problems, and that healthcare providers receive adequate resources to support the cost of delivering services in a high-quality, efficient manner.

Learn More

Primary Care

Primary care is an essential part of a high-value healthcare system. Patient-Centered Payment would enable primary care practices to deliver high-quality preventive care, acute care, and chronic disease care to all patients, including those with complex needs.

Learn More

Specialty Care

Many patients have health problems that require specialized expertise to diagnose or treat. Patient-Centered Payment would ensure these patients can receive appropriate, high-quality services from specialists through a team-based approach to care.

Learn More

Rural Hospitals

Over 40% of the rural hospitals in the U.S. are at risk of closing due to inadequate payments from health insurance plans. Patient-Centered Payment is needed to ensure that residents of rural communities have access to essential healthcare services.

Learn More