Most healthcare organizations — 58% of respondents to a Peer60 report—aren’t ready to adopt alternative payment models for value-based care yet, according to the report. Also, 37% of respondents said they will be adopting alternative payment models for value-based care and 5% of respondents said they will not.
This doesn’t come as much of a surprise, however, since the trend of bigger hospitals being more likely to have the resources—financial, technical, or otherwise– to pull off adopting a new payment model than smaller hospitals has stayed fairly constant, the report said. More specifically, the report found that hospitals with less than 500 beds are likely to be slow in adopting alternative payment methods.
The alternative payment methods include:
- Accountable Care Organization (ACO)
- Bundled Payments
- Full and Partial Capitation
- Comprehensive Primary Care (CPC) and CPC+
- Pay for Performance (P4P)
- Value-Based Purchasing (VBP)
The surveyors received varied responses from some of the providers that indicated they are not opting for value-based payment models.
“Some were of the opinion that doctors would be paid less than ever before due to noncompliant patients; outcomes determined primarily by patient compliance could lead to physicians cherry-picking patients whose outcomes will show higher levels of value,” the report said. “One provider even called the value-based system ‘diabolical.'”
Another provider respondent said in the report that, “metrics used by payers are not reflective of the true quality of services delivered.”
However, some hospitals across the country have already begun to adopt and use value-based care payment models. One example of this are four healthcare organizations in Massachusetts that signed on to Blue Cross Blue Shield’s value-based care model.
Although most healthcare organizations may not be ready to move over to value-based payment approaches yet, the report did find that providers are most interested in adopting a bundled payments model, which CMS says allows for greater provider adaptability and flexibility in deciding how payments are allocated.