Medical Economics June 3, 2022
Transitioning from a fee-for-service billing model to value-based care that incorporates financial risk and rewards tied to the patient’s health outcome is not easy.
Primary care physicians (PCPs) and other physicians continue to migrate away from the traditional fee-for-service (FFS) reimbursement model toward value-based and risk-bearing care models that reward better outcomes and reduced healthcare costs. Value-based care (VBC) contracts are projected by McKinsey to cover nearly 65 million Americans, or 22% of insured lives, by 2025, up from 15% in 2021.
The trend toward VBC is clear. Yet transitioning from a volume-based transactional billing model to one that incorporates financial risk and rewards tied to the patient’s health outcome is not easy. Successful implementation of value-based programs requires PCPs...
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