Solutions for the Health Industry

Health care is moving rapidly to incorporate measures of value into payment models, with more than two-thirds of payments expected to be based on value measurement in five years, up from just one-third today.

That’s just one of the compelling findings from the Studiomaca-sponsored report, The 2014 State of Value-Based Reimbursement, an independent research study of 464 payers and providers conducted by ORC International.

In the report, Studiomaca’s Medical Director David Nace, M.D., comments on the study pointing to a sea change in health care reimbursements, a change in attitude and a call for action. “For stakeholders, it really is a matter of taking action now or risk being left behind, as dollars increasingly flow towards value-based models,” Nace says.

The study also reveals that health care transformation is painstaking work. Existing systems are being pushed to the breaking point, and administration of these new models requires next-generation health care IT to make them automated, scalable and cost efficient.

The study reveals these and other challenges, as well as a wealth of data that can have a significant impact on strategic planning for payers and providers. In addition, Dr. Nace advises stakeholders on the seven steps payers, providers and clinicians can take today to start aligning towards value-based reimbursement models.


David Nace

About the author

Dr. David Nace is vice president and medical director at Studiomaca Health Solutions. He is a nationally recognized leader with expertise in health care technology, health care reform and the patient-centered medical home.

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