Value-based reimbursement is a hearty healthcare subject worth diving into as the shift from volume to value continues to evolve. Thirty percent of Medicare payments will be tied to alternative payment models, as per a recent announcement from the Department of Health and Human Services (HHS). Can healthcare providers make high quality care possible, but only with an unwavering budget firmly in place?
RevCycleIntelligence.com recently reported on 12 various value-based reimbursement strategies worth considering and implementing, including information about claims data integration and the application of financial analytics.
A newly released report from the Health Technology Transformation in collaboration with Caradigm describes 12 more value-based reimbursement strategies – such as data aggregation efforts, analysis, and predictive modeling to identify and manage the most costly/high-risk patients – utilized by accountable care organizations (ACOs) and large healthcare systems as the “impending acceleration” of the value-based reimbursement shift progresses.
As the pendulum swings towards a value-based core, recent data suggests it may be swinging rather quickly away from fee-for-service initiatives. As RevCycleIntelligence.comrecently reported, 42 percent of hospitals confirm at least 10 percent of their revenue stems directly from value-based contracts; this reported amount is double from six months prior.