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.
- Providers' Push to Consolidate Roils Payers
- Former NQF Co-Chair Linked to Conflicts of Interest in Journal Probe
- As Retail Clinics Surge, Quality Metrics MIA
- Medicare Cost, Quality Data Tools Weak, Says GAO
- No Employee Satisfaction, No Patient-Centered Culture
- RN Named Chief Patient Experience Officer
- 6 Not-So-Good Reasons for Avoiding Population Health
- Population Health Pays Off for NY Collaborative
- In PCMH, the 'P' is Not for 'Physician'
- How Simple Data Analytics is Driving Physician Incentives