The Road to Value

This comes from an article in Modern Healthcare:

The shift to value-based payment stalled in 2017 largely because of decisions made by new CMS leadership and distractions caused by efforts to repeal the Affordable Care Act, health quality experts say.

And this is a bad thing?  Here’s more:

Over the last year, new CMS Administrator Seema Verma touted an agenda that supported value-based payment but also focused on ways to reduce administrative burden for clinicians. As a result, the Trump administration slowed down the implementation of Obama-era mandates intended to move the dial on value-based payment.

Move the dial?  That dial was going in an unproven direction.  Actually, it was going in a direction that was proven wrong.  Quality metrics and pay-for-performance have failed miserably.

Feel free to read the rest of the article but here is my favorite part:

Francois de Brantes, vice president and director of the Center for Payment Innovation at the Altarum Institute, said there currently aren’t many payment models for providers to try out.

“(Right now) we have two different flavors of advanced APMs. The vanilla flavor is the total cost of care, or ACOs, and the chocolate flavor is bundles, and that is it,” de Brantes said. “More flavors should be tried out. It is OK to innovate around payment because there all these different types of populations.”

What the hell does that even mean?

Forget flavors.  Forget payment innovation.  How about finding a transparent way for patients to pay for their care that inspires them to shop around and bring the price down? That’s the road to real value.

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  4 comments for “The Road to Value

  1. Kurt
    January 3, 2018 at 4:46 pm

    “Forget flavors. Forget payment innovation. How about finding a transparent way for patients to pay for their care that inspires them to shop around and bring the price down? That’s the road to real value.”

    ………………………….And encourages people to take better care of themselves. This “value” payment system isn’t worth shit. Try paying the patients and maybe they’ll listen to the doctors if they
    find out they’ll get paid for it or be given discounts on care.

  2. Perry
    January 2, 2018 at 9:27 am

    Good grief. Why muck around with all these idiotic non-proven payment schemes. How about just paying docs for their time, like lawyers and accountants. For Pete’s sake, we are professionals!

  3. RSW
    January 2, 2018 at 7:15 am

    From their web site:

    “Altarum demonstrates and is sought for leadership in identifying, understanding, and solving critical systems issues that impact the health of diverse and changing populations.  Altarum is acknowledged as a valued, collaborative, and collegial institute of the utmost competence and integrity.”

    I couldn’t read any more.

    Happy New Year!

    • Steve O'
      January 2, 2018 at 7:44 am

      There are actually mindless ‘bots that can be told to generate prose such as “Let’s leverage turn-key action-items!” and “strategize end-to-end networks for multi-level targets for optimizing best-of-breed solutions as we synergize user-centric metrics!” If you wish to get nowhere, there are many paths.


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