AMGA: Value-Based Reimbursement Transition Slower Than Expected

RevCycle Intelligence December 8, 2016
Jacqueline Belliveau

While fee-for-service revenue decreased by over 20 percent in 2016, value-based reimbursement revenue was lower than expected this year, AMGA reported.

Fee-for-service revenue decreased by more than 20 percent as value-based reimbursement payments increased, reported the American Medical Group Association (AMGA). But the transition to value-based reimbursement may be slowing down compared to last year.

The 205 healthcare leaders participating in the recent AMGA survey stated that 77.3 percent of their commercial revenue came from fee-for-service payment structures. However, survey respondents in 2015 predicted fee-for-service revenue in 2016 to only account for 68 percent of commercial revenue.

AMGA attributed the value-based reimbursement slowdown to a lack of commercial risk-based alternative payment models and standardized data sharing.

“AMGA members are working...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), ASC, CMS, Employer, Health IT, Health System / Hospital, HHS, MACRA, Market Research, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, Radiology, RCM (Revenue Cycle Mgmt), Retail care, Self-insured, Specialist care, Telehealth, Urgent care, Value Based

AMGA: Value-Based Reimbursement Transition Slower Than Expected

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