Infographic: The Forced March to Value-Based Healthcare

Monday, June 13th, 2016
This post was written by Melanie Matthews

The Centers for Medicare and Medicaid Services (CMS) is accelerating the transition to value-based care by engaging physicians and providers with a battery of new value-based programs and quality incentives. With commercial insurers following CMS’s lead, the government is setting a rapid pace of change.

A new infographic by Oliver Wyman provides a history of CMS’s value-based initiatives, pilots, and targets.

11 Profitable Value-Based Reimbursement Models: Lessons from Early AdoptersCMS’s ambitious agenda for moving Medicare into alternative payment models is driving the U.S. healthcare system toward greater value-based purchasing at a furious rate. Private payors also have pledged to continue to shift payments away from fee for service and into alternative payment models such as accountable care organizations (ACOs). Fortunately, many healthcare organizations are already exploring value-based payments—often a single innovation at a time—testing models that reward providers for meeting Triple Aim goals of improving patient experience and population health while reducing healthcare’s per capita cost.

11 Profitable Value-Based Reimbursement Models: Lessons from Early Adopters encapsulates nearly a dozen such approaches, from Bon Secours’ building of a business case for its multidisciplinary care team to the John C. Lincoln ACO’s deep dive into data analytics to identify and manage the care of high-risk, high-cost ‘VIP’ patients to ‘beat the benchmark’ to WellPoint’s engagement of specialists in care coordination.

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