Meaningful progress has been made in value-based care, but the documented advances in reducing costs and improving patient outcomes have taken place predominately in the primary care sector. Significantly less headway has occurred in specialty care. But to be sustainable the value-based initiatives have to connect the primary care and specialty care. Indeed, specialty care represents over 60% of total medical expenditures in America and accounts for more than 90% of total medical professional expenses. For the most part, specialists are still doing business under traditional fee-for-service payment models. That is, most specialty care providers continue to be financially rewarded based on volume, rather than quality outcomes.
Read the full article: Using a Value-Based Enterprise to Integrate Specialists and Primary Care: Taking Value-Based Care to the Next Level //
Source: https://www.lexology.com/library/detail.aspx?g=6d36e441-a8b7-4339-8101-23dee1434474