These value-based systems are also known as alternative payment models, or APMs.
By 2020, this had grown to about 41%.
Nearly 40% of payments in 2020 were made under a strict fee-for-service model, without any quality requirements.
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This seems backward to many healthcare reformers.
Quality standards are objective measures used to determine whether providers are offering high-quality care.
In a pay-for-performance system, doctors who meet this standard would be rewarded appropriately.
But a solidutilization reviewprotocol rooted in evidence-based medicine can help to quantify things like efficiency and quality.
How Will Value-Based Payment Models Affect Me?
Centers for Medicare and Medicaid Services.What Are the Value-Based Programs?
Centers for Medicare and Medicaid Services.National Health Expenditures (NHE) Fact Sheet.
Health Care Payment Learning and Action web connection.APM Measurement Effort.
Health Affairs.Value-Based Payment As A Tool To Address Excess US Health Spending.
Lyu H, Xu T, Brotman D, et al.Overtreatment in the United States.PLoS One.
12(9):e0181970.
The Commonwealth Fund.Can Value-Based Payment Improve Health Care and Lower Costs?
Leddy, Tricia; McGinnis, Tricia; Howe, Greg.
Center for Health Care Strategies.Value-Based Payments in Medicaid Managed Care: An Overview of State Approaches.
Burstin H, Leatherman S, Goldmann D.The evolution of healthcare quality measurement in the United States.J Intern Med.
Managed Care Executive.The Top 5 Barriers to Value-Based Care.
Becker’s Hospital CFO Report.The pitfalls of pay for performance.
