{"id":8874,"date":"2021-04-15T21:14:49","date_gmt":"2021-04-16T01:14:49","guid":{"rendered":"https:\/\/intelerad.wpengine.com\/en\/?p=8874"},"modified":"2024-05-22T14:51:37","modified_gmt":"2024-05-22T14:51:37","slug":"report-6-reasons-payment-model-reform-has-stalled","status":"publish","type":"post","link":"https:\/\/www.intelerad.com\/en\/2021\/04\/15\/report-6-reasons-payment-model-reform-has-stalled\/","title":{"rendered":"Report: 6 reasons payment model reform has stalled"},"content":{"rendered":"<p><!--more--><\/p>\n<p>Despite the belief that healthcare payment reform has been on the verge of a tipping point for years, most of what passes for value-based payments (VBP) today\u2014including pay-for-performance, global payment or capitation, and bundled payments\u2014is still built on a foundation of fee-for-service (FFS).<\/p>\n<p>A 2016 survey predicted VBP would make up at least 60 percent of payments by 2021. That seems to have been overly optimistic\u2014so what happened?<\/p>\n<p>According to a\u00a0<a href=\"https:\/\/sage-growth.com\/index.php\/2021\/04\/six-reasons-why-healthcare-payment-reform-has-stalled-and-what-the-future-might-hold-vbp\/\" target=\"_blank\" rel=\"noopener\">new report<\/a>\u00a0from Sage Growth Partners, there appear to be multiple factors working against the shift, including entrenched payment models, competing priorities, and a lack of mature analytics, risk assessment, and decision tools.<\/p>\n<p>\u201cWe\u2019re still climbing the rather steep maturity curve for collecting and using our mountains of data in timely and meaningful ways,\u201d the report says. \u201cWhile we\u2019ve made progress in assessing member and patient risk, we continue to face massive challenges in finding and proactively treating those with risk factors. \u2026 As artificial intelligence (AI) grows in acceptance and adoption, this should improve.\u201d<\/p>\n<p>The healthcare industry\u2019s well-earned reputation for adapting too slowly to change is also cited, as well as the complexity of the concept\u2014too many models and metrics, and a broad range of meanings for the term \u201cvalue-based.\u201d<\/p>\n<p>\u201cPhysicians, hospitals, and health systems have a different set of payment and quality rules for different populations of patients,\u201d according to the report. \u201cKeeping track of that and adjusting how you treat a patient based on those rules is neither feasible nor okay.\u201d<\/p>\n<p>To push true healthcare reform, we need simpler payment rules that make consistent and repeatable delivery of care for all patients a priority.<\/p>\n<p>Learn more by reading the full report: \u201c<a href=\"https:\/\/sage-growth.com\/index.php\/2021\/04\/six-reasons-why-healthcare-payment-reform-has-stalled-and-what-the-future-might-hold-vbp\/\" target=\"_blank\" rel=\"noopener\">Where\u2019s the Value? Six reasons why healthcare payment reform (VBP) has stalled.<\/a>&#8220;<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":36,"featured_media":15804,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[39],"tags":[],"class_list":["post-8874","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-intelerad"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.2 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Report: 6 reasons payment model reform has stalled - Intelerad<\/title>\n<meta name=\"description\" content=\"Despite the belief that healthcare payment reform has been on the verge of a tipping point for years, a new report illuminates speedbumps.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.intelerad.com\/en\/2021\/04\/15\/report-6-reasons-payment-model-reform-has-stalled\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Report: 6 reasons payment model reform has stalled\" \/>\n<meta property=\"og:description\" content=\"Despite the belief that healthcare payment reform has been on the verge of a tipping point for years, a new report illuminates speedbumps.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.intelerad.com\/en\/2021\/04\/15\/report-6-reasons-payment-model-reform-has-stalled\/\" \/>\n<meta property=\"og:site_name\" content=\"Intelerad\" \/>\n<meta property=\"article:published_time\" content=\"2021-04-16T01:14:49+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-22T14:51:37+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.intelerad.com\/en\/wp-content\/uploads\/sites\/2\/2021\/04\/Report-6-reasons-payment.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1567\" \/>\n\t<meta property=\"og:image:height\" content=\"1184\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"root\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"root\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/2021\\\/04\\\/15\\\/report-6-reasons-payment-model-reform-has-stalled\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/2021\\\/04\\\/15\\\/report-6-reasons-payment-model-reform-has-stalled\\\/\"},\"author\":{\"name\":\"root\",\"@id\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/#\\\/schema\\\/person\\\/ca9def3193484d09f2298ce86a60445c\"},\"headline\":\"Report: 6 reasons payment model reform has stalled\",\"datePublished\":\"2021-04-16T01:14:49+00:00\",\"dateModified\":\"2024-05-22T14:51:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/2021\\\/04\\\/15\\\/report-6-reasons-payment-model-reform-has-stalled\\\/\"},\"wordCount\":298,\"publisher\":{\"@id\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/2021\\\/04\\\/15\\\/report-6-reasons-payment-model-reform-has-stalled\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/wp-content\\\/uploads\\\/sites\\\/2\\\/2021\\\/04\\\/Report-6-reasons-payment.png\",\"articleSection\":[\"Intelerad\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/2021\\\/04\\\/15\\\/report-6-reasons-payment-model-reform-has-stalled\\\/\",\"url\":\"https:\\\/\\\/www.intelerad.com\\\/en\\\/2021\\\/04\\\/15\\\/report-6-reasons-payment-model-reform-has-stalled\\\/\",\"name\":\"Report: 6 reasons payment model reform has stalled - 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