The evolution and significance of value-based care in the healthcare system were underscored by Clif Gaus, President, and CEO of the National Association of ACOs, who stated, “In the last decade, value-based care has grown from almost nothing to undeniably significant aspect of our health system. Today, for example, accountable care organizations are 20 percent of Medicare alone.”
Mike Tuffin, President, and CEO at AHIP emphasized the importance of collaboration in advancing value-based care, stating, “Overcoming recent challenges to the expansion of value-based care arrangements requires focused and sustained collaboration across the system.”
AMA President Jesse M. Ehrenfeld, M.D., MPH, highlighted the value of the newly released playbook, stating, “This playbook reflects input from physicians in an array of practice settings on their lessons learned for patient attribution and financial risk and benchmarking. It will be a valuable resource for both those with experience in value-based care and those who are just getting started.”
The initiative, known as the Future of Value Initiative, aims to enhance patient experience, improve population health, and reduce costs through voluntary best practices. The collaboration between AHIP, the AMA, and NAACOS seeks to provide a roadmap for stakeholders in designing, implementing, and evaluating value-based care participation.
The playbook, developed through a collaborative effort, focuses on key domains such as payment attribution, benchmarking, risk adjustment, quality performance impact on payment, levels of financial risk, payment timing & accuracy, and incentivizing for value-based care practice participant performance. These best practices are informed by real-world experiences and diverse perspectives within the healthcare industry.
Looking ahead, the Future of Value initiative plans to delve into additional aspects of value-based care arrangements that could benefit from the publication of voluntary best practices.
