Your Quick Reference Guide To The Language Of Value-Based Payments – When You’ve Seen One, You’ve Seen One (Unfortunately)

Payers and health plans are moving away from fee-for-service. We know that for sure – see The Financing Challenge For Providers With Increasing Managed Care & Value-Based Contracting and If Capitated Contracts Are In Your Future, Then What?. And, we know that, generally, reimbursement is moving from volume-based to value-based risk contracts – as you can see in the chart below from the presentation by Deborah Adler, Senior Vice President of the Network Strategy Department, Optum. What will become the dominant payment methodology for what services in what markets, is still a question.

What we see now . . .