Health Affairs August 11, 2020
Amol S. Navathe, Joshua M. Liao

COVID-19 has disrupted nearly every aspect of health care, including the momentum toward value-based payment reform. Prior to the pandemic, the Centers for Medicare and Medicaid Services (CMS) had been leading a nationwide shift toward alternative payment models (APMs), in which clinicians and organizations share responsibility for the quality and costs of care. By 2018, 36 percent of all health care payments were tied to APMs.

However, amid pandemic-related uncertainty, in June 2020, CMS halted further payment reforms through new rules that allow the agency to delay new APMs and allow participants to limit financial risk, delay reporting, and opt-out for time periods affected by COVID-19. While these flexibilities are appropriate short-term measures, reopening value-based payments “as-is” after COVID-19 could...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Health System / Hospital, Healthcare System, Insurance, Patient / Consumer, Payment Models, Physician, Primary care, Provider, Public Health / COVID, Value Based
Ilant Health Raises Extended Seed Round of $5.5M for Obesity Management Platform
Physician-led ACOs are the most effective at reducing care costs: report
CVS, inVio creating South Carolina ACO through REACH
‘Capital Will Follow Where There’s Predictability’: Ideal Option CEO Connects Value-Based Care and Enterprise Value
Value-based care adoption is a journey, not a destination. And the map you follow can make all the difference

Share This Article