Medical Economics June 21, 2024
VBC models can be challenging, and success requires an understanding of the reimbursement model, significant investment in infrastructure and possible changes in the way medicine is practiced.
Medicare, Medicaid and private insurance are increasingly encouraging health care practices to participate in value-based care models such as Managed Care Organizations, Accountable Care Organizations and Medicare Advantage. The industry’s perspective is that paying some providers prospectively based on outcomes – rather than retrospectively based on each service provided – tends to better support patient health and reduce overall excess spend for insurers.
That’s one reason why the global value-based health care market, worth $12.2 billion in 2023, is predicted to grow to $43.4 billion by 2031 – compound annual growth of 14.6%,...
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