Policy Reform
Leveraging the regulatory structure within OHIC to accelerate delivery system reform
The office is focused on improving the health care delivery system in the state to improve affordability, quality, and health equity for all Rhode Islanders. OHIC is supporting delivery system reform by encouraging provider payment models that improve value, fostering primary care transformation, and advising on the impact of hospital consolidation. The goal is to leverage the regulatory structure within OHIC to accelerate the transition to a reformed delivery system where provider organizations are incentivized to deliver accessible, affordable, and high-quality care that produces improved health outcomes.
APM Incentive Program FAQs
OHIC is committed to making RI's healthcare system more affordable and easier to use. That's why OHIC has set standards that will support primary care, transform healthcare delivery, and change the way we pay for care. Learn more about Affordability Standards, updated June, 2020.
OHIC staff and consultants produce regular reports on the latest trends and developments in the health care market. Learn more about OHIC Health policy Reports and Data Analysis
In an effort to reduce administrative burden and improve the quality of health care in Rhode Island, OHIC works with a diverse set of stakeholders to review aligned quality measure sets that insurers are required to use in contracts that have a financial incentive tied to quality. Learn more about Measure Alignment.
More information on the PCMH definition and provider reporting requirements can be found here.