While healthcare reform remains a topic of debate for the foreseeable future, the industry transformation from fee-for-service to alternative payment methods (APMs) continues to gain ground. Stories of organizations successfully evolving from a volume-based to a value-based model, though, are still rare enough to stand out as notable achievements.
As reported by the National Academy of Medicine, most Americans will probably be affected in the near or not-too-distant future by the emergence of accountable care organizations (ACOs) or other providers reflecting the expansion of care covered by APMs. But despite the promise and enthusiasm surrounding the changeover, “most participants in Medicare’s major APMs have not yet realized large savings…. Early APM results suggest that improving quality does not generally lead to better financial performance.”