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- Value-Based Care
Transitioning to Value-Based Reimbursement
The shift from fee-for-service healthcare to a value-based healthcare model has been associated with some challenges, notes Patrick White.
Mr White explains that the main challenge for healthcare groups is in the initial move. He notes that physicians and professionals who had previously been reimbursed under the fee-for-service model have financial concerns related to the switch to value-based reimbursement.
Mr White adds that another challenge is convincing the C-suite to incorporate physicians into the hospital management team. He notes that if presented with the responsibility and authority to make changes, physicians can help improve the overall delivery of care.
Despite these challenges, Mr White explains that the transition to a value-based healthcare model is necessary, and says that certain insurance companies have already begun measuring quality and cost per capita.
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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VBID, Heading Into a Third Decade, Looks to Promote Personalization and Access
March 12th 2025Speakers at the 2025 Value-Based Insurance Design summit recapped the accomplishments made over the past 20 years in designing insurance benefits with value in mind and looked ahead to iterations to come.
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Closing the Gaps in Cardiac Care With Technology, Collaboration
March 12th 2025Cardiologists, primary care physicians, and value-based care leaders convened in Phoenix, Arizona, on November 12, 2024, to share case studies and insights on how to align cardiology with the principles of value-based care, including through the application of digital tools.
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