For truly affordable health care, we need to pay for outcomes, not services

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Focusing on the cross-over between population health and value-based care, this Stat editorial calls out that most attempts at value-based care only do minimal work towards achieving this goal, “starting with existing fee schedules and adding incentive payments for reporting certain data, meeting cost benchmarks, and the like.” Because broad implementation means greater financial responsibility for providers when it comes to healthcare costs, there is some resistance towards this movement.

The article goes on to call out that “incentives can change behavior. As the largest purchaser of health care in the United States, the Centers for Medicare and Medicaid Services is in a unique position to influence delivery organizations” and notes that bundled payments can be one way to get providers on board with value based payments and population health.

However, the move towards value-based care is not happening fast enough and “if the transition from fee-for-service to value-based accountable care is allowed to happen at a pace that makes health care delivery organizations comfortable, it will be decades before we see meaningful change.”

DCHI is designed to address health care transformation, with a strong emphasis on moving 90 percent of providers and 80 percent of consumers to value-based care by 2019. To date 30 percent of Delaware’s population is currently attributed to primary care providers or health systems enrolled a value-based payment system, demonstrating the importance the SIM initiative in Delaware. Click below to learn more about the DCHI’s Payment Committee and their efforts!

Learn more about Payment Model Monitoring

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