What do you think of new Healthcare Payment Models?

1 Feb

There is growing recognition that expensive health care does not necessarily equate to better care and improved outcomes. Moreover, policy experts are also realizing that traditional payment systems rooted in fee-for-service arrangements could be inducing volume-driven care as opposed to higher quality care. Under fee-for-service, providers receive separate reimbursements for every service rendered. How do we realign cost and quality incentives so that we are paying for value and rewarding providers who deliver high quality care? As there is not a clear cut answer to this question, both the private and public sectors have decided to test new models of care that have the potential to lead to improvements in quality and lower costs. Through experimentation, we are rethinking how we not only pay for services but how we deliver those services. Aligning the payment and delivery system is critically important and in many ways is an indispensable component of building a high performing health care system.

The Pilot programs are testing “Bundled Episode Payments” and “Population-based Global Payments”. As long as theses models lower costs and improve patient outcomes, we’re onboard.

Read more here.

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