Value Based Care

In value-based care, the term “follow the money” may be fitting to define the goal of payers providing care for patients with chronic kidney disease, kidney specialists said, because it is tied to a key outcome – hospitalizations.

Value-based care is a leading platform of the American Academy of Orthopaedic Surgeons. This prominent platform reflects the growing presence of the programs in the U.S. health care system.

Since the passage of the Affordable Care Act in 2010, CMS has sought to move away from fee-for-service payment models in favor of value-based payment models with an emphasis on incentivizing value delivered to payments.

Practice infrastructure can be a significant factor in the success of musculoskeletal value-based care models.

Each year, as part of the Medicare physician fee schedule policy changes, the CMS is required to include administrative burden estimates for complying with Merit-based Incentive Payment System reporting.

The American Academy of Orthopedic Surgeons has issued comments to the Center for Medicare and Medicaid Innovation advocating for physician involvement in the design and implementation of alternative payment models.

Health care involves managing two fundamental transitions simultaneously — the emergence of digital or virtual care and a slow shift to value-based care.

One goal of the Advancing American Kidney Health initiative, which was launched in 2019, was to significantly increase the number of kidney transplants.

Small-and mid-sized health care practices, like mine, are increasingly interested in adopting value-based care models.

In the Center for Medicare and Medicaid Innovation Kidney Care Choices model, nephrology groups do most of the clinical work and take little to no financial risk, placing them at the bottom of the distribution of shared savings.