In a survey of the NEJM Catalyst Insights Council in July 2018, sponsored by Optum, 42% of respondents say they think value-based reimbursement models will be the primary revenue model for U.S. health care. Indeed, this transition is already happening. Respondents report that a quarter of reimbursement at their organizations is based on value, on…
Value-based care has resulted in medical cost savings, investments from commercial lines of business and an accelerated decline in fee-for-service, according to a Change Healthcare national research study. The study, conducted by ORC International in April and commissioned by Change Healthcare, included a survey of 120 managed Medicare, managed Medicaid and commercially focused payers. Here…
The United States healthcare system is experiencing a major shift in delivery and payment policy to address out-of-control spending and low-quality care. In 2010, the Affordable Care Act (ACA) set in motion a new vision for healthcare delivery and reimbursement—value-based care—aimed at replacing the “broken” traditional fee-for-service (FFS) model. Massive change takes time, yet lawmakers…