Newsletter Articles | May 14, 2021
How To Develop A Value-Based Reimbursement Proposal For Health Plans: The OPEN MINDS Guide
Today, 61% of all health care payments in the United States are tied to performance. Of this, 25% of payments are fee-for-service with a link to quality and value. And 36% of payments are alternative payment models (APMs)—with shared savings, shared risk, bundled payment, population-based payments, integrated finance and delivery system payments. By comparison, APMs constituted only 23% of payments in 2015. APM payments are present for all payers—Medicaid (23%), commercial insurance (30%), traditional Medicare (41%), and Medicare Advantage (54%) (see APM Measurement Progress . . .