9 in 10 Health Plans Still Tied to FFS Model
While the 10.9% reflects progress from 2010 when only 1% to 3% of payments were value-oriented, Delbanco says there remains a great deal of room for improvement. "As you can see, we've made a fair amount of progress … We commend all the stakeholders in healthcare who have made that progress, but you can see this is also a call to action… There is no doubt in my mind that these results will keep the conversation going."
Other key scorecard findings include:
- Of the 11% of value-oriented payments, 43% offer providers financial incentives through potential bonuses or added payment to support higher-quality care; 57% put providers at financial risk for their performance if certain quality and costs goals are not met.
- 6% of payments made to specialist are value-oriented.
- 6% of payments made to primary care physicians are value-oriented.
- Of total outpatient payments, 75% are made to specialists; 25% are made to primary care physicians.
- 2% of commercial health plan members are attributed to a provider participating in a new model of care, such as an accountable care organization or patient-centered medical home.
- 9% of hospital admissions are readmissions within 30 days of a discharge.
In an interview after the webinar, Delbanco stressed the importance of creating new payment methods in order to improve the cost and quality of care.
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Surgical Checklists Unused in 10% of Hospitals, CMS Data Shows
- Doctors Feel Pressure to Accept Risk-based Reimbursement
- A Fresh Look at End-of-Life Care
- 3 in 4 Patients Want E-mail Consultations
- Heart Attack Patient Costs Skyrocket Beyond 30 Days
- Centralizing the Revenue Cycle Protects the Bottom Line
- ACGME Chief Sees 'Huge' Risk of Error in Proposed Assistant Physician Licensure
- 3 Insider Tips on Cutting Costs without Strangling Growth
- 4 Tectonic Shifts Shaking Up Healthcare