It’s funny how certain buzzwords and phrases catch on in health care. We’ve seen HMO come and go, ACO start strong then fade, and population health struggle to become mainstream. Nowadays, it’s all about value-based care. Ask any industry insider what that means, and you’re likely to get a response…
Medicare’s new bundled payments program is expected to be popular, despite unanswered questions about the target prices for the episodes, risk adjustment, and use of quality data. Here’s what we know—and don’t know.
Value-based care can’t be done one slice at a time, new value-based models will take aim at variations in care, the patient may gain a stronger voice, the tail could wag the dog, and value-based care will create haves and have-nots. Some predictability from the federal government would be welcome.
Many of today’s value-based care models trace their roots to the Institute for Healthcare Improvement’s Triple Aim. Arguably, their sustainability may hinge on how true they stay to that trinity of improving population health, the patient experience, and per capita costs.
Maybe it’s time to tweak bundled payments, say the authors of an opinion piece in JAMA. They believe that they can be even more cost-effective if their durations are lengthened, if some of the bundled services can be performed outside a hospital, and if they can be integrated with ACOs.