Healthcare DIVE October 24, 2019
Linda Wilson

Dive Brief:

  • Nearly 36% of U.S. healthcare payments in 2018 involved alternative payment models, compared with 34% in 2017, but only 14.5% of 2018 payments included some form of downside financial risk for providers, a report released Thursday from the Health Care Payment Learning & Action Network found. The public-private partnership looked at data on 226.5 million Americans, or 77% of the covered population.
  • Fee-for-service still accounted for 39% of healthcare payments in 2018 while another quarter of payments were for fee-for-service with some link to value, such as bonuses for reporting data on quality or performance.
  • Medicare Advantage plans had the highest percentage of total payments tied to alternative payment models (53.6%), followed by traditional Medicare (40.9%), commercial...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, Market Research, Medicaid, Medicare, Medicare Advantage, Payer, Payment Models, Physician, Primary care, Provider, Trends, Value Based
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