Getting Past The Bumps In The Road To Value-Based Reimbursement

Based on my work the past six months, I would describe the “path” to value-based reimbursement (VBR) for provider organizations as bumpy. I hear lots of frustrations from health plan managers about provider organization lack of ability to commit to a specific program, rates, and performance measures—and concerns about the contract management capabilities of those provider organizations. On the flip side, provider organization managers are concerned about the lack of data for developing value-based rates and the long lag times between discussions and moving ahead with actual VBR contracts . . .