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Over the past decade healthcare providers have increasingly adopted value-based care (VBC) approaches, a move fueled greatly by the 2010 passage of the Affordable Care Act (ACA), as well as the recognition of the exorbitant costs of medical care, and the racial and socioeconomic inequities in healthcare access.
VBC is tied to various alternative payment models (APM) that shift healthcare provider reimbursement from a fee-for-service (FFS) to payment models driven by quality of care—some more dramatically so than others. Data supporting both improved patient outcomes and cost-effectiveness of VBC had begun to mountwhen the Covid-19 pandemic disrupted healthcare systems and revealed that many APMs, as currently structured, don’t benefit healthcare providers operating under trying conditions and serving high-risk communities—that is, those working in environments and with populations where new approaches to healthcare are most needed.