Value-Based Healthcare News

WALL STREET JOURNAL (March 5, 2013) - Most private payers and employers are working to revise their contracts to incorporate outcome-based reimbursements and, in the process, are demanding greater transparency into quality and cost data from providers.  (Full Article Here)

POLITICO (March 4, 2013) - We cannot control runaway medical spending without changing how physicians in this country are paid — currently the single most significant driver of health care costs. We pay physicians according to the number of services they provide. (Full Article Here)

POLITICO (March 4, 2013) - The National Commission on Physician Payment Reform is calling for eliminating the fee-for-service model within seven years, starting with a five-year transition period to a blended payment system. (Full Article Here)

KAISER HEALTH NEWS (March 4, 2013) - “Over time, payers should largely eliminate stand-alone fee-for-service payment to medical practices because of its inherent inefficiencies and problematic financial incentives,” the panel wrote. (Full Article Here)

HEALTH AFFAIRS (March 4, 2013) - Our study suggests that large group practices will engage in quality improvement efforts in response to public reporting, especially when comparative performance is displayed, as it was in this case on the collaborative’s website. (Full Article Here)

KANSAS CITY BUSINESS JOURNAL (March 4, 2013) - Many health care experts have long conceded that the consumer price of health care does not always reflect cost, quality or value. (Full Article Here)

AMERICAN MEDICAL NEWS (March 4, 2013) - “Most hospitals are expected to ramp up their patient experience protocols as Medicare becomes more related to [value-based] payments,” Foster said. “A substantial portion of value-based purchasing is linked to outcomes.” (Full Article Here)

NEWSMAX (March 4, 2013) - Former Senate Majority Leader Dr. Bill Frist has called for an end to fee-for-service payments for doctors and is advocating for a new system that bases payment on the quality of care and the value of medical services. (Full Article Here)

MIDLAND DAILY NEWS (February 27, 2013) - The government is seeking to improve care by reducing hospital readmissions, reducing hospital-acquired conditions and through value-based purchasing. Wagner said MidMichigan does well in readmissions and hospital-acquired conditions compared with the national average. (Full Article Here)

HEALTH AFFAIRS BLOG (February 27, 2013) - One option we have already embarked upon is to shift from fee-for-service reimbursement to payment models that reward efficiency and value. Another is to empower patients to think like consumers, rather than passive recipients of treatment that “somebody else” will pay for. (Full Article Here)

METROWEST DAILY NEWS (February 13, 2013) - High value hospitals have lower co-pays and the costs for procedures and surgeries is much less than other hospitals, resulting in lower payments to insurance carriers by your employer and lower health care premiums for you, the  employee. (Full Article Here)

HEALTH LEADERS MEDIA (February 11, 2013) - Healthcare executives also see great upside in VBP. In the HealthLeaders 2013 Industry Survey, VBP rated as the number-two opportunity for organizations, garnering 64% of the vote from the 823 respondents. (Full Article Here)

MODERN HEALTHCARE (February 11, 2013) - Value-based purchasing may have started with small incentives, but it was enough to get hospital executives' attention and allowed hospitals to gain experience before penalties likely increase, said Hal Luft, a healthcare economist and director of the Palo Alto Medical Foundation Research Institute. (Full Article Here)

THE HEALTH CARE BLOG (December 12, 2012) - The ideal payment system would support the ideal value-driven health care delivery system.  Distinguished expert panels convened by the Commonwealth Fund and the Institute of Medicine have described the attributes of a system that would be far superior to our current delivery system. (Full Article Here)

FIERCE HEALTHCARE (December 6, 2012) - Yet now--for the first time in our history--in the value-based purchasing model--the quality of the relationship we create with patients has been elevated. We know that now the experience we choose to create with our patients also will be reflected in our reimbursement. (Full Article Here)

UNITED HEALTH GROUP (December 5, 2012) - Americans could realize net savings in health care costs of around $200 billion to $600 billion cumulatively over the next 10 years if concerted action is taken to reform care provider payment incentives, including moving away from the traditional fee-for-service model. (Full Article Here)

ALTERGROUP (September 25, 2012) - Typically, physicians are reimbursed according to the number of patients they see and how many procedures and tests they order.  Policymakers have concluded that the “do more, earn more” business model is deeply flawed and one reason why Americans pay so much for healthcare. (Full Article Here)

THE ATLANTIC (May 7, 2012) - Many experts point to the outdated fee-for-service (FFS) model of paying for care as a culprit in out of control health care cost growth. In a FFS model, payers reimburse for all services, regardless of their impact on patient health. Little or no countervailing pressure to discourage the delivery of unnecessary services exists in this system. (Full Article Here)

UNITED STATES CONGRESS (July 30, 2009) - studies show that close to 30 percent of all health care spending each year, approximately $680 billion, goes to treatment and procedures that do not improve patient care.  In many instances, the over-utilization of health care actually leads to worse results. (Full Article Here)

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