(BPT) - For decades, the American health care system has compensated doctors for each visit, test and procedure they provide — regardless of outcome. While fee-for-service remains important for many health care organizations, those adopting value-based care are finding it can be effective for improving patient outcomes and creating financial sustainability.
kAmp44@C5:?8 E@ E96 r6?E6CD 7@C |65:42C6 U2>Aj |65:42:5 $6CG:46D Wr|$X[ E9:D `h\J62C\@=5 >@56= 92D 366? DE625:=J 8C@H:?8 — >@C6 E92? e__[___ A9JD:4:2?D 2?5 ?@?\A9JD:4:2?D H6C6 A2CE:4:A2E:?8 :? 2? pr~ :? a_ac[ 2? :?4C62D6 @7 >@C6 E92? bd[___ 7C@> a_ab]kDFAm`\ak^DFAm %96 8@2= @7 G2=F6\32D65 42C6 :D D:>A=6i 36EE6C 42C6[ =@H6C 4@DED 2?5 962=E9:6C 4@>>F?:E:6D]k^Am
kAmkDEC@?8m(9Jnk^DEC@?8mk^Am
kAmp44@C5:?8 E@ r|$[ A2E:6?ED H9@D6 AC:>2CJ 42C6 @C82?:K2E:@? 92D :?4@CA@C2E65 G2=F6\32D65 42C6 >2J 92G6 2? 62D:6C E:>6 ?2G:82E:?8 E96:C 42C6 H9:=6 82:?:?8 2446DD E@ 65F42E:@?2= C6D@FC46D E@ 96=A E96> 36EE6C F?56CDE2?5 E96:C 962=E9 :DDF6D]kDFAmbk^DFAm %96:C 5@4E@CD 42? >2<6 >@C6 52E2\5C:G6?[ A6CD@?2=:K65 42C6 564:D:@?D 2?5 EC62E E96 H9@=6 A6CD@?[ ?@E ;FDE 2 DA64:7:4 962=E9 :DDF6] %9:D 42? =625 E@ 2 >@C6 :>A24E7F= 2?5 677:4:6?E 5@4E@C 2?5 A2E:6?E :?E6C24E:@?]k^Am
kAmQx E9:?< G2=F6\32D65 42C6 :D :>A@CE2?E 7@C A2E:6?ED 3642FD6 :E C62==J 5@6D D6E E96 E@?6 7@C H2?E:?8 E@ 7@4FD @? BF2=:EJ @7 42C6 AC@G:565[Q D2:5 y@6= #2>:C6K[ |]s][ 49:67 >65:42= @77:46C 2E r2>2C6?2 w62=E9 :? r2=:7@C?:2] QxE >62?D =@@<:?8 2E E96 A2E:6?E :? 2 4@>AC696?D:G6 H2J] %92EVD =@@<:?8 ?@E @?=J 2E E96 >65:42= 5:28?@D:D E96J >2J 42CCJ[ 3FE 2=D@ H92E 492==6?86D E96J >2J 92G6 E@ =625 2 962=E9J =:76]Qk^Am
kAms@4E@CD H9@ H2?E E@ C6>2:? :?56A6?56?E 2?5 DE:== AC@G:56 E96:C A2E:6?ED H:E9 6I46==6?E 42C6 7246 >2?J 492==6?86D[ :?4=F5:?8 7:?2?4:2= AC6DDFC6D[ ?2G:82E:?8 25>:?:DEC2E:G6 H@C<=@25D 2?5 7=F4EF2E:?8 C6:>3FCD6>6?ED[ H9:49 42? =625 E@ 92C5D9:A[ 244@C5:?8 E@ E96 p>6C:42? |65:42= pDD@4:2E:@?]kDFAmck^DFAmk^Am
kAm$@92:= z9H2;2[ 6I64FE:G6 5:C64E@C @7 r@=F>3:2 |65:42= !C24E:46 :? |2CJ=2?5[ D2:5[ Qx 36=:6G6 E96 C62D@? A6@A=6 92G6 D9:65 2H2J 7C@> AC:>2CJ 42C6 :D 3642FD6 @7 E96 3FC56? @7 5@4F>6?E2E:@?] tG6CJE9:?8 E92E :D C6BF:C65 @7 AC:>2CJ 42C6 :D G6CJ[ G6CJ E:>6\4@?DF>:?8[ 2?5 G2=F6\32D65 42C6 :D 492?8:?8 E92E … %96 7@4FD :D[ 282:?[ @? D66:?8 2 =:>:E65 ?F>36C @7 A2E:6?ED[ 3FE E2<:?8 36EE6C 42C6 @7 E96>[ 2D @AA@D65 E@ 4@?E:?F:?8 E@ D66 >@C6 2?5 >@C6 A2E:6?ED]Qk^Am
kAmu@C E9@D6 =@@<:?8 E@ AC24E:46 G2=F6\32D65 42C6[ E96 25@AE:@? 42? 36 >256 D:>A=6C E92?<D E@ A9JD:4:2?\6?23=6>6?E 4@>A2?:6D =:<6 p=65256[ 7@F?565 :? a_`c]k^Am
kAmp=65256 A2CE?6CD H:E9 AC:>2CJ 42C6 @C82?:K2E:@?D E@ 96=A E96> DF44665 :? G2=F6\32D65 42C6 >@56=D] p=65256 92D >@C6 E92? a[c__ AC24E:46D 2?5 962=E9 46?E6CD 24C@DD ce DE2E6D 2?5 (2D9:?8E@?[ s]r][ D6CG:?8 ?62C=J b >:==:@? A2E:6?ED]k^Am
k5:G DEJ=6lQ>2I\H:5E9i e__AIj H:5E9i e__AIjQmk:>8 DC4lQ9EEADi^^HHH]3C2?5A@:?E4@?E6?E]4@>^:>286D^b53cdcgg\b`72\cch`\24_f\`f626`7`7c3b];A8Q 2=ElQ~=56C H@>2? FD:?8 =2AE@A E@ 4@?E24E p=65256 @?=:?6]Q H:5E9lQe__Q 3@C56ClQ_Q ^mk^5:Gm
kAmkDEC@?8m%96 36?67:ED @7 G2=F6\32D65 42C6k^DEC@?8mk^Am
kAmp=65256VD 244@F?E23=6 42C6 @C82?:K2E:@?D Wpr~DX AC@G:56 AC6G6?E:G6 8F:52?46 2?5 C6D@FC46D D@ 4=:?:4:2?D 2C6 C6H2C565 7@C <66A:?8 A6@A=6 962=E9J[ ?@E ;FDE 7@C E96 BF2?E:EJ @7 AC@465FC6D E96J A6C7@C>] p=65256 pr~D 92G6 86?6C2E65 >@C6 E92? Sa 3:==:@? :? D2G:?8D[ 6?23=:?8 A2CE?6CD E@ 56=:G6C 36EE6C 42C6[ C6H2C5 2?5 9:C6 DE277[ 6?92?46 E96:C 724:=:E:6D 2?5 DE2J :?56A6?56?E]kDFAmdk^DFAmk^Am
kAm|2FC66? !2556?[ |]s][ @7 t>6C2=5 r@2DE |65:42= vC@FA :? !6?D24@=2[ u=@C:52[ D2:5[ Q(96? J@F H@C< H:E9 2? pr~ =:<6 p=65256 E92E 3C:?8D C6D@FC46D 2?5 6IA6C:6?46 E@ E96 E23=6[ J@F 42? E9C:G6 2?5 ?@E ;FDE DFCG:G6] *@F 42? H@C< D>2CE6C[ @C J@F 42? H@C< 92C56C] (96? J@F H@C< D>2CE6C[ J@FVC6 92AA:6C[ J@FC A2E:6?ED 2C6 92AA:6C[ J@FC 72>:=J :D 92AA:6C[ J@FC 62C?:?8D 2C6 36EE6C 2?5 A2E:6?ED 86E 8C62E 42C6]Qk^Am
k5:G DEJ=6lQ>2I\H:5E9i e__AIj H:5E9i e__AIjQmk:>8 DC4lQ9EEADi^^HHH]3C2?5A@:?E4@?E6?E]4@>^:>286D^`g775c6b\fh`g\ca35\hhc5\`cade6fdbg73];A8Q 2=ElQs@4E@C 6I2>:?:?8 @=56C H@>2? :? 6I2> C@@>]Q H:5E9lQe__Q 3@C56ClQ_Q ^mk^5:Gm
kAmq642FD6 G2=F6\32D65 42C6 96=AD 5@4E@CD 7@4FD @? 62C=J :?E6CG6?E:@?D 2?5 >2?28:?8 49C@?:4 4@?5:E:@?D[ A2E:6?ED 42? 6IA6C:6?46 76H6C 4@>A=:42E:@?D 2?5 :>AC@G65 BF2=:EJ @7 =:76] pD 2 C6DF=E[ 5@4E@CD 42? 4FE 4@DED 3J C65F4:?8 9@DA:E2= C625>:DD:@?D 2?5 2G@:523=6 AC@465FC6D[ 62D:?8 25>:?:DEC2E:G6 H@C<=@25D 2?5 3@@DE:?8 DE277 D2E:D724E:@?] p=65256 @776CD 6IA6CED H9@ AC@G:56 25>:?:DEC2E:G6 DFAA@CE 2?5 4=:?:42= 8F:52?46 E@ 62D6 E96 EC2?D:E:@? E@ DF446DD7F= G2=F6\32D65 42C6]k^Am
k5:G DEJ=6lQ>2I\H:5E9i e__AIj H:5E9i e__AIjQmk:>8 DC4lQ9EEADi^^HHH]3C2?5A@:?E4@?E6?E]4@>^:>286D^4hd62b`2\7hf4\che6\2__5\bdfce27g4_ha];A8Q 2=ElQs@4E@C 2?5 ?FCD6 =@@<:?8 @G6C A2A6C H@C<Q H:5E9lQe__Q 3@C56ClQ_Q ^mk^5:Gm
kAmx? a_ab[ p=65256 A2CE?6CD 2G@:565 ?62C=J ec[___ 9@DA:E2=:K2E:@?D 2?5 6>6C86?4J G:D:ED]kDFAmek^DFAm !2E:6?ED 42? 6?;@J 2 >@C6 A6CD@?2=:K65[ 4@@C5:?2E65 42C6 6IA6C:6?46 2D E96:C E62> 4@==23@C2E6D 24C@DD DA64:2=E:6D E@ E2:=@C EC62E>6?E A=2?D 7@C =@?8\E6C> H6==36:?8]k^Am
kAmkDEC@?8mp55C6DD:?8 4@>>@? 4@?46C?D 7C@> 4=:?:4:2?Dk^DEC@?8mk^Am
kAmkDEC@?8mp] (:== E9:D E2<6 2H2J >J 4=:?:42= 2FE@?@>Jnk^DEC@?8mk^Am
kAm}@] s2E2\5C:G6? :?D:89ED D@FC465 7C@> 24C@DD E96 42C6 4@?E:?FF> 6>A@H6C 5@4E@CDV 564:D:@?\>2<:?8[ DFAA=J:?8 E96> H:E9 >@C6 :?7@C>2E:@? E@ >2<6 E96 36DE 49@:46D 7@C E96:C A2E:6?ED]k^Am
kAmkDEC@?8mq] (:== x =@D6 >@?6J >@G:?8 2H2J 7C@> 766\7@C\D6CG:46nk^DEC@?8mk^Am
kAm~?6 @7 E96 <6J 25G2?E286D @7 G2=F6\32D65 42C6 :D E96 A@E6?E:2= E@ C65F46 56A6?56?46 @? F?56CG2=F65 766\7@C\D6CG:46 A2J>6?ED 3J AC@>@E:?8 7:?2?4:2= DE23:=:EJ E9C@F89 BF2=:EJ >62DFC6D]kDFAmfk^DFAmk^Am
kAm%96 =24< @7 7F?5:?8 7@C AC:>2CJ 42C6 F?56C E96 766\7@C\D6CG:46 A2J>6?E DJDE6> F?56CD4@C6D E96 D:8?:7:42?46 2?5 ?646DD:EJ @7 EC2?D:E:@?:?8 E@ G2=F6\32D65 42C6 — A2CE:4F=2C=J 7@C AC:>2CJ 42C6 @C82?:K2E:@?D E92E H:D9 E@ DE2J :?56A6?56?E]k^Am
kAm~E96C A2J>6?E DECF4EFC6D :?4=F56 42A:E2E:@? — H96C6 5@4E@CD C646:G6 2 7:I65 A2J>6?E A6C A2E:6?E — 3F?5=65 A2J>6?ED — H9:49 4@G6C 2== D6CG:46D C6=2E65 E@ 2 4@?5:E:@? @G6C 2 D6E A6C:@5 — 2?5 A6C7@C>2?46\32D65 A2J>6?ED[ H9:49 C6H2C5 5@4E@CD 7@C >66E:?8 DA64:7:4 BF2=:EJ >62DFC6D]k^Am
kAmkDEC@?8mr] xD E96 EC2?D:E:@? E@@ 4@>A=6Ink^DEC@?8mk^Am
kAm%96 EC2?D:E:@? E@ G2=F6\32D65 42C6 42? 36 4@>A=:42E65] qFE E96 C:89E pr~ A2CE?6C H:== 8:G6 J@F 2 565:42E65 DFAA@CE E62>[ D6E 4=62C 6IA64E2E:@?D 2?5 6DE23=:D9 2 C62D@?23=6[ 4@>7@CE23=6 EC2?D:E:@? E:>6=:?6]k^Am
kAm%96 EC2?D:E:@? :D 7FCE96C D:>A=:7:65 E9C@F89 7:?2?4:2=[ 25>:?:DEC2E:G6 2?5 E649?@=@8:42= D@=FE:@?D E92E 96=A AC:>2CJ 42C6 @C82?:K2E:@?D >2:?E2:? E96:C :?56A6?56?46 H9:=6 :>AC@G:?8 E96:C G2=F6\32D65 42C6 A6C7@C>2?46 @G6C E:>6]k^Am
kAmQy@:?:?8 p=65256 92D 366? 2 82>6\492?86C 7@C @FC AC24E:46] %96:C 52E2\5C:G6? 2AAC@249 2?5 92?5D\@? DFAA@CE 92G6 2==@H65 FD E@ 7@4FD @? H92E >2EE6CD >@DE — 56=:G6C:?8 9:89\BF2=:EJ 42C6 E@ @FC A2E:6?ED[Q r2C2 s6??:D@?[ AC24E:46 25>:?:DEC2E@C 7@C p?5@G6C u2>:=J |65:4:?6 :? z2?D2D[ D2:5]k^Am
kAmkDEC@?8m(92E 2C6 E96 36DE G2=F6\32D65 42C6 @AE:@?D 7@C J@FC AC24E:46nk^DEC@?8mk^Am
kAm(96? 2DD6DD:?8 G2=F6\32D65 42C6 @AE:@?D[ :EVD :>A@CE2?E E@ 4@?D:56C A2CE?6CD9:AD E92E 42? 6?92?46 DF446DD]k^Am
kAm%96 36DE C6DF=ED[ 324<65 3J C6D62C49[ 92G6 366? 2>@?8 AC:>2CJ 42C6 @C82?:K2E:@?D E92E A2CE?6C H:E9 A9JD:4:2?\6?23=6>6?E 4@>A2?:6D[ DF49 2D p=65256]kDFAmgk^DFAmk^Am
kAmQxEVD 2 566A6C =2J6C @7 42C6 J@F 5@?VE 92G6 H96? J@FVC6 @FE 96C6 2=@?6[Q y6?: q2C92>[ 49:67 BF2=:EJ 4@?EC@= @77:46C 2E |2:?=:?6 w62=E9 $JDE6>D :? pC<2?D2D[ D2:5] Q%96C6VD 2=H2JD >@C6 E@ E96 A2E:6?E 2?5 >@C6 E@ E96 A:4EFC6 E92E J@F 5@?VE 86E E@ D66 F?=6DD J@F 92G6 2 A2CE?6C =:<6 p=65256 E92E 42? 86E E92E :?7@C>2E:@? 7@C J@F]Qk^Am
kAm':D:E k2 9C67lQ9EEADi^^9F3D]=J^"_b<aa0d_Q E2C86ElQ03=2?<Q C6=lQ?@7@==@HQm2=65256]4@>^>@C6\:?7@C>2E:@?k^2m E@ 86E DE2CE65]k^Am
kAm—\\\\\\\\\\\\k^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQm` k2 9C67lQ9EEADi^^HHH]4>D]8@G^7:=6D^5@4F>6?E^a_ac\D92C65\D2G:?8D\AC@8C2>\72DE\724ED]A57Q E2C86ElQ03=2?<Q C6=lQ?@7@==@HQma_ac $92C65 $2G:?8D !C@8C2> u2DE u24ED[ r|$k^2mk^DA2?mk^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQma k2 9C67lQ9EEADi^^HHH]4>D]8@G^7:=6D^5@4F>6?E^a_ab\D92C65\D2G:?8D\AC@8C2>\72DE\724ED]A57Q E2C86ElQ03=2?<Q C6=lQ?@7@==@HQma_ab $92C65 $2G:?8D !C@8C2> u2DE u24ED[ r|$k^2mk^DA2?mk^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQmb k2 9C67lQ9EEADi^^HHH]4>D]8@G^AC:@C:E:6D^:??@G2E:@?^<6J\4@?46AED^G2=F6\32D65\42C6Q E2C86ElQ03=2?<Q C6=lQ?@7@==@HQm'2=F6\q2D65 r2C6[ r|$k^2mk^DA2?mk^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQmc k2 9C67lQ9EEADi^^HHH]2>2\2DD?]@C8^AC24E:46\>2?286>6?E^AC:G2E6\AC24E:46D^g\E9C62ED\724:?8\A9JD:4:2?\AC:G2E6\AC24E:46DQ E2C86ElQ03=2?<Q C6=lQ?@7@==@HQmQg E9C62ED 724:?8 A9JD:4:2? AC:G2E6 AC24E:46D[Q p>6C:42? |65:42= pDD@4:2E:@?k^2mk^DA2?mk^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQmd k2 9C67lQ9EEADi^^2=65256]4@>^?6HDC@@>^2=65256\?6HD^2=65256\6IA2?5D\G2=F6\32D65\42C6\?6EH@C<\255:?8\>@C6\E92?\d__\AC24E:46D\7@C\a_adQ E2C86ElQ03=2?<Q C6=lQ?@7@==@HQmp=65256 tIA2?5D '2=F6\q2D65 r2C6 }6EH@C<[ p55:?8 |@C6 E92? d__ !C24E:46D 7@C a_adk^2mk^DA2?mk^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQme k2 9C67lQ9EEADi^^2=65256]4@>^?6HDC@@>^2=65256\?6HD^2=65256\D2G65\>65:42C6\>@C6\E92?\g__\>:==:@?\:?\a_abQ E2C86ElQ03=2?<Q C6=lQ?@7@==@HQmp=65256 $2G65 |65:42C6 >@C6 E92? Sg__ |:==:@? :? a_abk^2mk^DA2?mk^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQmf k2 9C67lQ9EEADi^^HHH]227A]@C8^23@FE^A@=:4:6D^2==^A2J>6?E\>@56=D]9E>=RiOiE6IElp>@?8Ta_E96Ta_>2?JTa_A@E6?E:2=Ta_36?67:ED[@FED:K65Ta_C@=6Ta_:?Ta_A@AF=2E:@?Ta_962=E9]Q E2C86ElQ0D6=7Q C6=lQ?@7@==@HQmQ'2=F6\32D65 !2J>6?E |@56=D 7@C !C:>2CJ r2C6[Q p>6C:42? p4256>J @7 u2>:=J !9JD:4:2?Dk^2mk^DA2?mk^Am
kAmkDA2? DEJ=6lQ7@?E\D:K6i gAEjQmg k2 9C67lQ9EEADi^^<=2DC6D62C49]4@>^C6A@CE^G2=F6\32D65\42C6\6?23=6>6?E\D6CG:46D\a_ac\D6CG:46D\7:C>\8F:56^be`aQ E2C86ElQ03=2?<Q C6=lQ?@7@==@HQm'2=F6\q2D65 r2C6 t?23=6>6?E $6CG:46D a_ack^2mk^DA2?mk^Am
(0) comments
Welcome to the discussion.
Log In
Keep it Clean. Please avoid obscene, vulgar, lewd, racist or sexually-oriented language.
PLEASE TURN OFF YOUR CAPS LOCK.
Don't Threaten. Threats of harming another person will not be tolerated.
Be Truthful. Don't knowingly lie about anyone or anything.
Be Nice. No racism, sexism or any sort of -ism that is degrading to another person.
Be Proactive. Use the 'Report' link on each comment to let us know of abusive posts.
Share with Us.