The Challenge of Measuring Healthcare Value

The tiering systems, pay-for-performance formulas, reimbursement codes, and other methods of rewarding quality become more Rube Goldbergesque all the time. Finding simple ways to improve the value of healthcare is a challenge shared by everyone in the industry, and payers can help by ensuring the methods they use to reward quality or efficiency are as transparent and straightforward as possible.

Reimbursement incentives can be effective if they are comprehensible, but they won’t likely have their intended effect if there are too many levers, buttons, triggers, and springs in the system.