Medical Economics June 4, 2025
Key Takeaways
- Value-based care adoption is hindered by administrative burdens and data challenges, despite some progress in alternative payment models.
- Medicare Advantage plans have advanced, but risk adjustment remains linked to fee-for-service claims, complicating the transition.
- Collaboration between government and private sectors is essential to improve data interoperability and reduce clinician burdens.
- Smaller practices struggle with current reporting requirements, highlighting the need for standardized, AI-assisted data processes.
A discussion with Duke University’s Mark McClellan about why value-based care hasn’t been adopted more quickly
A decade ago, the federal government launched its large-scale Medicare Access and CHIP Reauthorization Act (MACRA) in an attempt to move more physicians into value-based care to rein in exploding costs and improve care.
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