Value-Based Reimbursement Shows Progress

stethoscope-2617701_1280A recent Humana analysis shows that value-based reimbursement continues to demonstrate improvements when it comes to quality and focusing on costs. Last year, primary care practice (PCP) related medical costs in the insurer’s value-based reimbursement models for Medicare Advantage were comparably lower than Medicare fee-for-service, just over fifteen percent in fact. The costs for patients visiting PCPs utilizing value-based payment models were also lower than patients seeing PCPs in the aforementioned Medicare Advantage.

The healthcare industry’s transition to value-based care hasn’t been an entirely smooth one. Although the Affordable Care Act played a major role in spurring adoption of value-based care, only a third or so of healthcare payments are related to an alternative payment model with a level of shared savings or risk. There is also research which suggests there may be lingering concerns as to whether value-based reimbursement will indeed lower costs while keeping care quality steady or improving it.

To read more about the Humana analysis, please visit https://revcycleintelligence.com/news/value-based-reimbursement-reduces-costs-15.6-improves-quality.

This update is by Medical Accounts Systems, a full-service healthcare revenue cycle management company providing a number of services including insurance follow up and managed care disputes, physician reimbursement, hospital extended business office services, and more. For additional information on our services or for any questions you may have on topics such as medical debt collection, please call 877-759-6315.