The State and Science of Value-Based Care
About this Industry Report
Providers believe the payment model that's historically dominated in healthcare has flamed out — 96% of healthcare payment today has connections to care quality, cost reductions and, in some cases, patient experience. That leaps to 99% by 2025. But is FFS really over? Payers report that pure FFS remains in the double digits within their provider networks. While providers think the transition to value has substantially occurred, we are only at the beginning. The amount of financial risk providers have is going to increase significantly in the next few years. This research makes it clear that providers don't have the tools, analytics, and processes to know how they're performing on risk-based contracts — and a risk-based tsunami is coming. MACRA links an ever-increasing portion of physician payments to service-value rather than service-volume. Every provider participating in Medicare is having their Part B payment adjusted based upon MACRA's value-based care timeline.
