Main Library
From improving outcomes for vulnerable, post-acute patients to building collaborative networks using real-time data for measurable impact, it can take several different approaches to deliver quality care and get reimbursed in the world of value-based care. In an interview, Steve Holt, VP Government Affairs, PointClickCare, discussed how hospitals and ACOs can succeed with alternative payment model (APM) programs such as AHEAD, TEAM, and ACO REACH to reshape quality benchmarks.
CMS wants every individual with Medicare to be a part of a managed care program by 2030. This goal has spurred the development of Alternative Payment Models, under the CMS/CMMI banner, to figure out how to bend the cost curve without sacrificing quality along the way -– one of the biggest dilemmas in care delivery.
Holt said the TEAM model has paved the way for newer APM models.
“The TEAM model, specifically, is really the first instance of a large-scale government-mandated alternative payment model across provider types. It is a very strong indicator of the trajectory that we’re on with these models. It is safe to assume that these alternative payment models are very much going to continue to be the direction we go as fee-for-service continues to be less and less of the reimbursement pie.”