A recent report indicates that the health care industry is making a slow but steady transition from fee-for-service to bundled payments and other alternative payment models (APMs) where reimbursement is based on quality rather than quantity.
According to the Health Care Payment Learning & Action Network (HCP-LAN), in 2018 approximately 35.8 percent of health care payments were tied to an APM and 25.1 percent were fee-for-service tied to value and quality. Only 39.1 percent of payments were fee-for-service with no value or quality link.
While falling short of Health and Human Services’ previous goals, these numbers do suggest that APMs will soon become the norm for provider payments. And since 2015, MedBen Analytics has been helping health systems make a smooth changeover to value-based care.
As bundled payment models are introduced and fine-tuned, so too does MedBen modify its software platform to ensure that providers have the most accurate analysis available. We provide a variety of actionable reports with the ability to drill down and find opportunities that impact care delivery.
Moreover, the lessons we’ve learned have crossed over to other businesses. Our all-inclusive commercial bundled payment services bring together self-funded employers with health care facilities to provide joint replacement services. Employers know exactly what they must pay, while providers benefit from agreed-upon payments and increased steerage.
If you’re interested in seeing how MedBen Analytics reporting works up close, we’d be happy to give you a demonstration. Just contact our Manager of Operations Cari L. Coventry at 800-423-3151, ext. 405 or firstname.lastname@example.org.