With healthcare organizations churning out an increasing volume of clinical, financial, and operational data, IT tools and analytics are becoming essential for business intelligence and predictive capabilities.
The conversion from volume (or procedural) based reimbursement to one of value-based presents the challenges of measuring new metrics and analyzing their association with diseases and treatment outcomes. The model is still uncertain and in development.. Physicians must be aware of changes and participate in development of this crucial new paradigm.
Clinical Practice Guidelines andQuality of Care for Older PatientsWith Multiple Comorbid DiseasesImplications for Pay for Performance
The Affordable Care Act (ACA) places primary care physicians (PCPs) front and center in the mission to improve the health of Americans, and lower overall healthcare costs. But new ACA-derived payment models that reward value, not volume, are driving skepticism and uncertainty among physicians.