HealthLeaders Media July 26, 2021
The FFS claims submission process is still the primary means for capturing the broader encounter data needed for VBP analysis and payment.
– Claims effectively trap data needed for broader initiatives.
– Legacy EHRs, billing, and accounting systems contribute.
– Analytics and payer-provider integration are among the solutions.
Value-based purchasing (VBP) has been part of the national healthcare vocabulary for more than a decade. And while there is much to suggest that VBP is finding its place in the delivery system—with numerous government programs and thousands of payer-provider contracts spanning managed Medicare, commercial, and even Medicaid programs—VBP also has a long way to go. And the still-entrenched fee-for-service (FFS) chassis linked to every functional aspect of healthcare is...