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Physicians, Hospitals Size Up Value-Based Healthcare
Physicians are wary of new healthcare payment models emphasizing quality and efficiency metrics, but hospitals are likely to prove resilient.
Many healthcare providers now participate in value-based payment models, which most see as the wave of the future, but few of them are happy about it.
"Value-based" is a catch-all label for Accountable Care Organizations (ACOs) and other ways of restructuring healthcare around payment for value delivered, as measured by metrics of healthcare quality or the aggregate health of a population rather than by the volume of visits, procedures, or hospital stays a healthcare organization records. In other words, it's a highly data-driven vision of healthcare reform, intended to improve quality and efficiency while reducing costs.
According to a survey sponsored by Availity, 75% of providers currently participate in at least one value-based payment model, and more than 60% expect this model to dominate the future of healthcare finance. Fewer than 30% believe these schemes offer a good level of reward for the risk (see detailed findings). Availity, which offers data and collaboration services to both payers and providers, is interested in these dynamics as a player promising to smooth the transition.
Read the full story here: http://ubm.io/SU9cqv
Source: Information Week
Managed Care Reflections: A Q&A With Hoangmai H. Pham, MD, MPH
April 1st 2025To mark the 30th anniversary of The American Journal of Managed Care® (AJMC®), each issue in 2025 will include a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The April issue features a conversation with Hoangmai H. Pham, MD, MPH, a member of AJMC’s editorial board and the president and CEO of the Institute for Exceptional Care (IEC).
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Examining Low-Value Cancer Care Trends Amidst the COVID-19 Pandemic
April 25th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the April 2024 issue of The American Journal of Managed Care® about their findings on the rates of low-value cancer care services throughout the COVID-19 pandemic.
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Bridging Care Gaps With a Systemwide Value-Based Care Strategy
March 29th 2025Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based care despite the many transitions that continue among hospital, primary, specialty, and community care environments.
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