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Giving Compass' Take:
• A health IT firm called Change Healthcare reported that around 48 states are now using some form of value-based payment model and highlighted three states in particular: New York, Pennsylvania, and Vermont.
• What are the benefits of value-based payments in health care? How can donors spread awareness about this model?
• Read about the barriers to value-based care.
Some 48 states now use some form of value-based payment model, a seven-fold increase from five years ago, according to a new report commissioned by health IT firm Change Healthcare.
More than 20 states evolved their models since last year's report. Though patient-centered medical homes are the most popular form of value-based model, the program that's gained the most traction over the past 18 months is CMS' Comprehensive Primary Care Plus, a primary care medical home model.
The report highlighted three states (New York, Pennsylvania and Vermont) as leading the way away from fee-for-service payment methods.
CMS has been pushing more programs that pay hospitals and physicians for the quality, rather than quantity, of their work. While Medicare has been a main focus, states and Medicaid managed care plans also have their opportunities.
Change Healthcare said in a statement accompanying the findings. "Based on the report, it's obvious that managed Medicaid programs are actively exploring numerous VBP models, and that states implementing more advanced strategies around healthcare payment transformation will ultimately drive the commercial markets."
Providers still need prodding to participate in value-based models, even though few would argue they aren't needed. A recent survey of healthcare executives from Numerof & Associates found that most respondents said 10% or less of their revenue came from risk-based contracts.
Read the full article about value-based payment models by Shannon Muchmore at Education Dive.