A recent report from the Health Care Payment Learning & Action Network found that nearly 25% of payments made by health insurers so far in 2016 were made through value-based alternative payment models (APM).
The health care industry is undergoing a shift toward value-based reimbursements and away from traditional fee-for-service models. This is driven, in part, by the Affordable Care Act and, more recently, the final ruling on MACRA last month. The evidence from this report shows that the industry is moving closer to its goal of having 30% of payments tied to APMs by the end of 2016 and 50% by 2018.
In a recent statement, Marilyn Tavenner, President and CEO of America’s Health Insurance Plans, spoke to the shifting nature of payment models across the industry:
Health plans, doctors, hospitals, businesses and public programs are all changing, all collaborating — and all improving the way we deliver care. We’re being smarter purchasers of healthcare by prioritizing efficient, effective and evidence-based approaches to delivering care. That means better quality for patients and lower costs for consumers.