Provider Readiness to Support Value-Based Payment Models

As health care reform gains momentum, the industry shift toward value-based payment models is accelerating. These emerging models compensate physicians based on patient care and outcomes rather than services rendered, putting the focus on quality over volume. As we learned in Availity’s latest research study, Health Plan Readiness to Operationalize Value-Based Payment Models, health plans expect the tipping point for these models will be reached in the next five years—when 50 percent or more of their business has transitioned from traditional fee-for-service arrangements to value-based compensation.

Additionally, health plans resoundingly agree that they need different kinds of information from providers in order to process and pay claims under value-based models. The information being exchanged under traditional fee-for-service models will not suffice. They also report that the most efficient way to exchange this information is in real-time.

So where do the providers stand in this evolution? How would they characterize their readiness to participate in these models? To achieve success in the migration to these new models requires readiness by both health plan and provider. Further, where is the provider community going for guidance to ensure they can support these new models without disruption to their daily workflows and cash flow?

This study highlights the provider’s perspective on value-based payment models. Through research, Availity has gained critical insight into the importance of these emerging models to physician practices and hospitals, their expectations for transitioning to them in the next three years, and how well-prepared they are to support the evolving information requirements foundational to these models.

Download the full study below to learn more.