DOTmed January 8, 2021
The COVID-19 pandemic has left many hospitals and private physician practices struggling financially, and underscored what academic and health policy experts have said about fee-for-service (FFS): it is inefficient and incentivizes providers to do more than necessary to increase revenue.
The FFS model rewards the most expensive interventions, at the cost of preventive care, behavioral health services and disease management. What’s more, FFS fosters a siloed health care system that cannot support care coordination across providers.
The pandemic has also compromised quality reporting and HEDIS measurement reporting, demonstrating how the current approach to quality and safety measures remains too labor intensive, often causing substantial data delays and lacking sufficient standardization to allow for rapid data sharing. All of these factors...
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