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Navigating the Shift to Value-Based Reimbursement: How Fast Is Too Fast, and How Slow Is Too Slow?

Navigating the Shift to Value-Based Reimbursement: How Fast Is Too Fast, and How Slow Is Too Slow?


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Aimee Greeter, MPH
 
Providers are struggling to understand how the macro-level changes occurring in the healthcare industry will affect them on a micro-level, especially as they pertain to the shift toward value-based reimbursement. This article presents a guide to physicians and practice administration, in both the private and hospitalemployed practice setting, on how to effectively manage this shift from fee-forvolume to fee-for-value. It analyzes new reimbursement models, population health management trends, and second-generation alignment and compensation models to help the reader understand practical tactics and overarching strategies to prepare for the changing method of reimbursement in the healthcare industry. The goal of this article is to provide clarity for decision-makers as they embrace the fee-for-value shift in a historically and predominantly fee-for-service environment.