Jan 17, 2023
Starting with a CMS demonstration project of only ten providers in 2005, today’s value-based care (VBC)一when including MIPS and MACRA一now carries close to 100% primary care provider participation. And nearly 60% of all healthcare payments have some relation to quality and value—with rising levels of reimbursement related to risk and population.
However, why have some of the promises around cost savings and outcomes not lived up to expectations? Will specialists, as well as secondary and tertiary care adopt VBC? What role does data readiness play in VBC success, and what can we expect over the next five years and beyond?
Recent research from Morning Consult, commissioned by Innovaccer, looks at these questions and more. To discuss the research and more, we assembled a roundtable discussion with a panel of VBC experts. Host and Innovaccer Chief Medical Officer, Dr. David Nace takes the audience on a guided journey through the past, present, and future of VBC with our guests, including:
Amy Stevens, General Manager of Provider Performance and Value Innovation at Innovaccer; Eric Weaver, Executive Director at the Institute for Advancing Health Value; and Dr. Brian Silverstein, Chief Population Health Officer at Innovaccer.
Here’s what the panel discussed:
- Not fast enough: why VBC’s adoption has been slower than expected
- Where VBC will grow or fail over the next five years
- The plans for managed risk and health equity in VBC’s future
- Tips a North Star perspective to VBC teaches
- How data readiness gets personalized at the employee level
- Factors hampering success in the shift from FFS to VBC
- Potato—Po-ta-toe: What’s the right definition of value in VBC?
- Four risk management strategies providers learned from the pandemic
- How educating and re-skilling the workforce impacts VBC success
- What’s slowing VBC growth in commercial plans
- The one thing that will fuel a future greater provider-payer collaboration
- Shifting the mindset from “population health” to “health one-to-one”
- Top three questions about VBC providers should ask
- How consumerism and retail entrants can add value to the system
- Provider perspectives on actuarial vs. performance risk
- Specialty care strategies for VBC success
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