2015 Healthcare Benchmarks: Value-Based Reimbursement

Healthcare's inevitable shift from volume to value-based reimbursement is reflected not only in Medicare's alternative payment timeline but also in the waves of commercial payors now evaluating and rewarding providers on the basis of quality of care delivered rather than number of services provided.

Adding to its roster of quality-centered payment models, CMS announced in 2015 plans to explore value-based reimbursement for Medicare Advantage and home health.

2015 Healthcare Benchmarks: Value-Based Reimbursement captures the healthcare industry's reaction to payment formulas for value-added care, and how this shift away from fee-for-service is transforming care delivery and quality.

This 40-page report, based on responses from more than 80 healthcare companies to HIN's inaugural survey on value-based reimbursement, compiles a collection of metrics presented in data tables and dozens of charts.

The 2015 market metrics in this report encompass the following data points:

• Current use of value-based reimbursement or alternative payment models;
  
• Favored value-based payment models, including patient-centered medical home (PCMH), accountable care organization (ACO), bundled payments,and others;
  
• Number of beneficiaries covered by value-based reimbursement models;
  
• Number of physicians reimbursed via value-based contracts;
  
• Percentage of provider compensation that is value-based;
  
• Provider metrics evaluated to determine value-based payments;
  
• Tools and technologies supporting value-based models;
  
• Program components related to value-based payment models (e.g. physician report cards, staff incentives, etc.);
  
• Most effective tools, workflows or protocols in a value-based reimbursement strategy, in respondents' own words;
  
• Annual savings attributed to value-based reimbursement models;
  
• Most significant challenge of implementing a value-based reimbursement strategy;
  
• Impact of quality-focused payment on clinical and organizational outcomes, including care coordinaton, patient satisfaction, healthcare services utilization, etc.;
  
• Program ROI;
  
• Greatest successes to date attributed to value-based reimbursement;
  
• The complete September 2015 Value-Based Reimbursement survey tool;

This benchmark report is designed to meet the business and planning needs of health plans, managed care organizations, physician organizations, health systems, and others by providing critical benchmarks in value-based reimbursement trends.

This report is part of the HIN Healthcare Benchmarking series, which provides continuous qualitative data on industry trends to empower healthcare companies to assess strengths, weaknesses and opportunities to improve by comparing organizational performance to reported metrics.

If you are already a Healthcare Benchmark series subscriber, then this report is FREE for you.