Seventy-one percent of survey respondents employ a value-based reimbursement or alternative payment model, according to the October 2015 survey. The study also determined that of those respondents not yet exploring a fee-for-value approach, 26 percent plan to do so in the coming year.
In assessing value-based payment formulas, 56 percent of respondents favor a pay-for-performance model, with 71 percent employing these models in contracts for commercial populations.
Despite healthy adoption of alternative payment approaches, one quarter of respondents say the infrastructure required to sustain value-based payment models is the reimbursement trend's most significant hurdle—greater even than the challenge of data integration or patient engagement, the survey determined.
In evaluating healthcare providers for value-based rewards, respondents most often review markers tied to quality (82 percent), hospital readmissions (56 percent) and patient satisfaction (56 percent) to determine payment, the survey found. The use of physician report cards to track provider performance was reported by 63 percent of respondents.
The shift toward fee-for-value has had the greatest impact on the area of prevention, respondents said, with 69 percent attributing a rise in preventive care to value-based reimbursement models.
Other survey findings included the following:
- Twenty-one percent of respondents reported savings from value-based payment models as ranging from $100,000 to $500,000 annually.
- Value-based payment contracts most often were executed for populations having more than 100,000 beneficiaries.
- Fifty-six percent said the market lacks sufficient technological support for value-based payment models.