Caring for your whole health through value-based care

While the U.S. is a global powerhouse when it comes to medicine, in reality, medicine in America faces two critical and ongoing issues:

• Inconsistent quality of care
• Extremely high costs

The current fee-for-service structure fails to solve either problem. Adding to the burden is the nursing and doctor shortages due to the high rate of burnout among doctors and nurses.

By focusing on value, doctors are able to shift away from billing around volume and, instead, bill against how a patient’s health is improving.

The idea of value-based care was first developed by the American Academy of Pediatrics in 1967 and was considered a groundbreaking concept. By 2008, the Centers for Medicare & Medicaid Services (CMS) started emphasizing the quality of healthcare over the volume of patients seen. Each year, more legislation has been passed to support this overall model including:

• Medicare Improvements for Patients and Providers Act (MIPPA)
• Health Information Technology for Economic and Clinical Health Act (HITECH)
• The Affordable Care Act (ACA)
• Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
  
  

Related articles:

• Care Model Comparison
  

Content contained on this page is for informational purposes only and does not constitute medical advice. Consult your health care provider before beginning any new fitness or dietary plan. References provided are for informational purposes only and do not constitute endorsement of any websites or other sources. Should you have any health-related questions, you should contact your health care provider.

Sources:

• 4 Key Areas of Value-Based Care Transformation (revcycleintelligence.com)
• The Strategy That Will Fix Health Care (hbr.org)
• CMS' Value-Based Programs | CMS