Wednesday, May 25, 2011 RWJF Initiative Aims to Develop New Payment Models A total of 16 communities and states will develop and test models of paying for health care based on value—not volume—of services provided by physicians and other providers, as part of the Robert Wood Johnson Foundation's (RWJF) Aligning Forces for Quality (AF4Q) initiative. AF4Q, originally launched by RWJF in 2006, works to improve health care by engaging patients in their care, publicly reporting the performance of physicians and hospitals, and improving the quality of care delivered in each community. RWJF hopes to provide models that will help propel national reform by providing resources, expertise, and training to help providers, payers, and consumers all do their part. The selected communities are Albuquerque, Boston, Cincinnati, Cleveland, Detroit, Humboldt County (California), Kansas City (Missouri), Maine, Memphis, Minnesota, Oregon, Puget Sound (Washington), South Central Pennsylvania, West Michigan, Western New York, and Wisconsin. Earlier this year, APTA announced its plan to develop a new payment system for physical therapist services that would be based on clinical expertise and judgment, reduce regulatory burdens, revise coding nomenclature, facilitate the provision of the quality of care, and reduce unwarranted variations in practice.