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Stakeholders Seek to Drive Near 100% of Medicare Reimbursements to Value-Based Contracts by 2025

November 23, 2021Laura BinghamNo CommentsInnovista Health SolutionsMedicare ACOs/MSSP,Alternative payment models (APMs)Innovista Health Solutions

The U.S. federal deficit is the highest it has ever been. Healthcare makes up the largest portion of that deficit and the COVID-19 pandemic continues to amplify the issue. Over the past few years, the Centers for Medicare and Medicaid Services (CMS) has lead the charge towards value-based contracting, which “encourages providers to deliver the best care at the most reasonable cost, thus improving the overall value of care” (revcycleintelligence.com). By 2025, the intention is to have almost 100% of Medicare reimbursements tied to value-based contracts. Today, in 2020, less than 20% of Medicare spending is tied to value-based contracting, and those providers who are a part of the majority who are not participating in a value-based contract are cautious. They fear the risk of financial loss and, in some cases, the cost to make the shift seems unattainable. The unknown is unsettling, and comprehensive education on value-based contracting is vital to not only increased adoption but successful adoption.

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: alternative payment models, APMs, COVID-19, Medicare, Medicare reimbursements, value-based care, value-based contracts, value-based reimbursement, vbc

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