Which brings us to the second main concern of CEOs: The payment system has an even longer way to go toward truly paying for patient outcomes, even if hospitals and health systems are scrambling to put the pieces of the new business model together, often at great expense.
Pay-for-performance schemes have been around for years, especially from commercial payers, but they have been crude, largely experimental, and not robust or expansive enough to truly influence behavior change among providers. CMS has also made strides, but the fact remains that only a small percentage of healthcare reimbursement is at risk currently, and the number will remain small in at least the medium-term future.
Hospitals and health systems have long been criticized as bastions of the status quo, when the status quo is playing a big part in bankrupting the country.
Now, as many recent conversations and events have proven to me, hospitals and health systems being innovative by accumulating expertise and pieces of the healthcare system that they never much cared about in the past, on the promise or threat, depending on your point of view, that payments will move toward value and away from fee-for-service.
Now, it seems, it's the rest of the world that needs to catch up.