MedCity News November 21, 2022
Yusuf Sherwani

Compared to other areas of healthcare, behavioral health has been slow to adopt VBC models — even though they will further expand access to behavioral health services, remove barriers to care, and improve the quality of mental health and substance use care.

Traditionally, healthcare in the U.S. has been based on a fee-for-service reimbursement model, where providers are paid for each service delivered to patients. The problem with this model is that pay is tied to volume, not outcomes— in fact, providers are incentivized to perform extra testing and procedures, emphasizing treatment at the expense of prevention and wellness.

To address this misalignment in incentives, healthcare has been moving toward a value-based care (VBC) model, where pay is tied to...

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Oliver Wyman

Topics: CMS, Digital Health, Govt Agencies, Insurance, Medicare, Mental Health, Patient / Consumer, Payment Models, Provider, Technology, Telehealth, Value Based
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