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The healthcare industry is moving beyond just the development and adoption of alternative payment models (APMs), according to Aparna Higgins, a former leader at the Health Care Payment Learning and Action Network (HCP-LAN).
HCP-LAN is a public-private partnership that aims to accelerate the transition to value-based reimbursement and care through increased APM adoption. The organization recently found that just 41 percent of healthcare payments made by insurers covering 135 million lives in 2017 were paid through fee-for-service. Insurers tied the remaining payments to value, with about one-third of all payments linked to a formal APM.
While the industry is progressing with APM adoption, providers and payers need to start thinking about adopting models that do more than tie payment to value.