Physicians, Hospitals Size Up Value-Based Healthcare

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Many healthcare providers now participate in value-based payment models, which most see as the wave of the future, but few of them are happy about it.

“Value-based” is a catch-all label for Accountable Care Organizations (ACOs) and other ways of restructuring healthcare around payment for value delivered, as measured by metrics of healthcare quality or the aggregate health of a population rather than by the volume of visits, procedures, or hospital stays a healthcare organization records. In other words, it’s a highly data-driven vision of healthcare reform, intended to improve quality and efficiency while reducing costs.

According to a survey sponsored by Availity, 75% of providers currently participate in at least one value-based payment model, and more than 60% expect this model to dominate the future of healthcare finance. Fewer than 30% believe these schemes offer a good level of reward for the risk (see detailed findings). Availity, which offers data and collaboration services to both payers and providers, is interested in these dynamics as a player promising to smooth the transition.

Meanwhile, a pair of researchers at Weill Cornell Medical College report that if history is any guide, hospitals will survive and thrive despite reforms aimed at diverting care (and healthcare dollars) away from hospital care.

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