How to Speed Up the Shift from Volume to Value? Experts Point to Evidence-Based Treatment, Integrated Systems

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How to speed up the shift from volume to value? Experts point to evidence-based treatment, integrated systems (Fierce Healthcare)

Fierce Healthcare covered the keynote at the World Health Care Congress event in early May. The moderated discussion put the spotlight on the slow transition from fee-for-service to value-based care, and shared potential solutions to speed up the process. One such solution presented by Michael Tarnoff, the chief medical officer at Medtronic, is to standardize services so there is less variation in care, including “using data and evidence as a guide for treatment decisions, and then finding a way to ensure providers deliver that evidence-based standard.”  A second solution presented is to combine payer and provider (e.g. provider sponsored health plans).


The keynote discussion also reviewed the challenges that are resulting in the slow pace of transition, including infrastructure limitations and risk to providers; the panel suggests accountable care organizations, although these come with advantages or disadvantages. Regardless, Tarnoff says, “the payer, and the changing of what the payer is willing to do, and how the payer is willing to contract, is probably the most powerful thing that could be done...because it would immediately get incentives aligned.”  


Delaware is at the forefront of the healthcare transformation movement, with a strong emphasis on shifting providers, payers, and consumers to a value-based system. Quality measures and a Common Scorecard are two of the primary tools DCHI is using to support the transition for providers.  For more information, visit the Payment Model Monitoring Committee  at

Transitioning to Value-Based Care: 7 Best Practices (Hospitals and Health Networks)

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