Association says moving away from fee-for-service would benefit both patients and clinicians
The association’s endorsement of value-based payments comes in a policy statement in the current issue of its flagship publication Circulation.
“Value-based care delivery and payment models hold the promise of producing better patient outcomes and lowering costs,” Karen E. Joynt Maddox, M.D., M.P.H., FAHA, a member of the AHA’s coordinating committee and an assistant professor of medicine at Washington University in St. Louis said in an accompanying news release. “Value-based programs represent an important but under-recognized opportunity to improve the clinician’s experience and the efficiency, quality and value of patient care.”
VBP models tie clinician reimbursement to patient outcomes and quality of care metrics rather than the number of services they perform. Slightly more than 60% of health care payments in 2020 included some form of quality and value component, up from 53% in 2017 and 11% in 2012.
The AHA policy statement contains recommendations for value-based care delivery and payment models, including:
In addition, the statement outlines principles for guiding development of future VBP models, including:
The AHA says its recommendations are “consistent” with the Center for Medicare and Medication Innovation 2021 Strategy Refresh that was designed to promote “a health system that achieves equitable outcomes through high quality, affordable, person-centered care.”