Value-based payment models that shared five-year expected savings offered stronger incentives for clinicians to implement preventive interventions for postpartum depression compared to models that offered shared savings over just one year, according to a study published in JAMA Network Open. The Affordable Care Act requires most commercial health insurance plans to cover preventive services for pregnant or postpartum…
Medicare Advantage beneficiaries whose primary care organization participated in a value-based payment model saw lower rates of hospitalizations, observation stays, and emergency department visits, according to a study published in JAMA Network Open. Value-based payment models incentivize providers to deliver quality care while keeping healthcare spending low. As stakeholders see positive results, Medicare and Medicare Advantage plans have shifted toward…
Physicians who depend on reimbursement from CMS tangle with value based payment (VBP) systems, a regulatory framework intended to hold providers accountable for healthcare quality and cost. CMS promotes these systems as providing better care for individual patients, better health for populations, and lower costs compared with the traditional fee-for-service (FFS) model. In many ways,…
Despite the promise of value-based care, the current compensation structure continues to incentivize physicians for volume. A payment hierarchy exists in the U.S. health care system. Reimbursement mechanisms used by payers create incentives for health systems and physician organizations. In turn, these organizations create incentives for physicians through compensation packages, which may or may not…
Despite a significant push towards value-based care in recent years, many health systems still largely compensate physicians based on the volume of their services, according to a new study from RAND Corporation. A push for value-based care According to Fierce Healthcare, there has been an ongoing push across the health care industry, particularly from payers,…
Despite a decades-long push toward value-based payment, physician compensation arrangements at health system-owned practices still primarily revolves around the volume of services delivered, according to a new study from RAND Corporation. The study recently published in JAMA Health Forum examined physician compensation structures at 31 physician organizations affiliated with 22 health systems in four states….
Dive Brief: The growth of accountable care organizations is cutting physician work hours as well as the likelihood of doctors being self-employed, according to a new JAMA report. The study of nearly 50,000 doctors found a 10% increase in ACO enrollment in a hospital referral region is connected with 0.82 fewer work hours per week…
An avalanche of new pay proposals from the CMS seeks to reduce provider burden, so much so that it could undermine efforts to shift Medicare to a value-based system, doctors warned. The agency released a 1,400-page proposed rule July 12 that for the first time combined the annual physician fee schedule and the Medicare Quality…
Physicians are still getting a lot of their pay from personal productivity despite broader attempts to shift to value-based payment models. An analysis (PDF) from the American Medical Association found that 31.8% of the average physician’s compensation came from personal productivity in 2016. Salary continued to be the dominant method of physician compensation, but productivity was…
WASHINGTON — Members of an influential federal advisory panel sparred here today over a recommendation that would direct Medicare to scrap its fledgling Merit-based Incentive Payment System (MIPS) and instead implement a new approach for tying reimbursement to judgements about value of care. The Medicare Payment Advisory Commission (MedPAC) voted 14 to 2 in favor…