RevCycle Intelligence December 11, 2023
As value-based reimbursement models become more popular, providers must choose carefully to maximize revenue while maintaining high-quality care.
The Centers for Medicare and Medicaid Services (CMS) aims to have all traditional Medicare beneficiaries under a value-based care model by 2030.
Although the pace may be slow, the healthcare industry is shifting away from fee-for-service payments toward value-based reimbursement models. According to the Health Care Payment & Learning Action Network (LAN), over half of healthcare payments in 2022 were made through value-based reimbursement models.
However, transitioning to value-based reimbursement is not easy for all healthcare organizations. These models require extensive data analytics capabilities, population health management programs, and the ability to successfully use electronic health records (EHRs) for documentation and reporting.
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