How to Pandemic-Proof Our Healthcare Payment System

By AISHA PITTMAN and SETH EDWARDS The pandemic has focused many policymakers’ attention  on strategies to make the healthcare system better. The obvious answer is one that we know is efficacious, if perhaps not the sexiest: value-based care. The current healthcare payment system – built around the fee-for-service (FFS) model in which healthcare providers are reimbursed for the quantity versus quality of care – required $175 billion in bailouts and temporary modifications to remain whole during the crisis, a stance that’s unsustainable for both providers and payers. The Centers for Medicare & Medicaid Services (CMS) admitted as much with its renewed national commitment to value-based care in late June: The movement to value is happening now. The worth of value-based care models has long been detailed, from more coordinated care to lower costs. In fact, a recent survey conducted by our organization Premier Inc. found that healthcare providers in alternative payment models (APMs) were better positioned to respond to COVID-19 and support reopening plans through the rapid deployment of telehealth, care management and data analytics. These are the types of population health capabilities the industry must focus on spreading – and incenting – in the near future. Value-based care could have kept providers’ finances off  life support. In stark contrast to those in FFS, providers in value-based payment models such as global ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: COVID-19 Health Policy Aisha Pittman Pandemic Seth Edwards Source Type: blogs