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Understanding the Top 10 Terms of Value-Based Purchasing
RevCycle Intelligence July 18, 2017
From pay-for-performance to bundled payments and ACOs, providers should understand the key terms in value-based purchasing before making the transition.
Whether providers favor it or not, the healthcare industry is inevitability moving to value-based purchasing.
CMS reported in 2016 that Medicare already linked 30 percent of traditional fee-for-service payments to value-based purchasing models and the federal healthcare program anticipates upping the percentage to 90 percent by the end of 2018.
Private payers are not fair behind Medicare. About 25 percent of healthcare payments made through commercial, Medicare Advantage, and Medicaid health plans stemmed from an alternative payment model with population-based accountability in 2016, the Healthcare Payment Learning & Action network found.
With payers embracing value-based purchasing as a marathon event,...
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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Employer, Health System / Hospital, MACRA, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Private Exchange, Provider, Public Exchange, RCM (Revenue Cycle Mgmt), Self-insured, Value Based