Can value-based care damage the physicians’ practices?

1

• Can value-based care damage the physicians
  practices?

2
Can value-based care damage the physicians
practices?

• Around 51 of physicians in the survey claim that
  value-based care and reimbursement would
  negatively impact patient care. There is no
  clarity about the thought of probable effects of
  the value-based model that will pose on the
  physicians practices and patient care thereby.
  As per the survey, it has been suggested that
  value-based care and reimbursement might
  negatively affect collectively on patient care.
• The following are the probable consequences of
  value-based care and pay for performance models
• Create pressure negatively on the lowering rates
  of claims reimbursements.
• Need for more expenses on the ongoing services
  and collaborations to enhance success areas with
  quality assurance.
• The strain on resources and cost due to extra
  documentation and data collection with added
  analysis.
• Many physicians may not get fairly compensated
  for their performance due to unclear metrics in
  the pay for performance model. As there is the
  unavailability of adequate metrics for accurately
  measuring pay for performance and it would ad on
  as one more reason for payers to hold on grip
  towards the reimbursements for physicians.

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3
Can value-based care damage the physicians
practices?

• A coordinated group of physicians, hospitals and
  organizations that aim towards delivering
  high-quality care and receive value-based
  reimbursement for the cost and quality of care
  they provide are accountable care organizations
  (ACOs). Also, the participation of some
  physicians in ACOs was not that assured, as some
  of them did not want to participate or were
  doubtful and most of them needed more information
  to decide. Clear denial in participation was
  shown by older physicians specifically.
• Physicians might withdraw their participation
  from bundled payments and ACOs probably as they
  believe that the alternative payment models
  restrict their practices from patient care. The
  rules and guidelines of such bundled models and
  care payment programs drive their attention just
  towards meeting the protocol rather than the
  needs of the patient care.
• Value-based sources of payments are not only the
  one uncommon source of physician compensation,
  but the performance-based lowered compensation is
  also one of the reasons
• What needs to be considered?
• ACOs or other organizations employing physicians
  that work towards value-based care need to think
  of aligning their and physicians incentives
  together.
• The percentage of compensation tied to the
  performance-based goals should be at least 20.

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4
Can value-based care damage the physicians
practices?

• This may assist the physicians buy-in initiating
  towards value-based care and to amplify their
  efforts towards more effectiveness in cost and
  quality.
• This can be achieved by individual assessment of
  goals set and performance and compensation
  achieved by each physician. There has been active
  participation and open communication amongst all
  physicians to keep a track of working on
  strategies to accomplish effective compensations.
• They also need to broaden the scope of current
  protocols to canopy maximum possible patient
  conditions to increase the relevancy of
  protocols for many other special conditions that
  are not currently heeded upon.

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