IMPAQ's President, Dr. Cary Sennett, writes about health care payment reform



August 01, 2012

IMPAQ’s President, Dr. Cary Sennett, has offered predictions on the pace and direction of reform in “Health Care Payment Reform:  A Look Ahead,” an article published in the Summer 2012 Issue of “Prescriptions for Excellence in Health Care.”  Dr. Sennett argues in that piece that payment reform has to serve as an essential driver of national efforts to improve the value of health care, and that those payment reforms will drive financial and clinical risk to providers.  He points out that providers—physicians in particular—are fearful of risk, and considers a range of strategies that they can use to mitigate that risk.  He closes with a set of predictions—what we can expect to see over the next few years—and what needs to happen to maximize the likelihood that physicians will accept, embrace, and respond constructively as risk-based payment moves toward the mainstream. 

His paper comes just a few days after the Commonwealth Fund reported findings from a survey, suggesting that “few ACOs (are) Ready for Financial Risk” ( in which the “findings also point to significant gaps, including the infrastructure needed to take on financial risks.” (