Prior this year, we seen a developing drift to move supplier installment models from fee-for-service (FFS) to Value Based Care (VBC) and responsible care organization (ACO) models. While the require for this move has been a hot point for a few a long time, the Office of Health and Human Services (HHS), along with major payers, moved past conversation and started arranging this year and took striking action towards quick selection (“A Strategy for Health Care Reform - Toward a Value-Based System”, Lockwood, 2015). “FFS reimbursement rewards providers for delivering more services and fails to differentiate payment based on quality”. (“Can value based reimbursement model transform health care, 2013”). This framework too has been a perplexity …show more content…
What we need now is a clear national strategy that sets forth a comprehensive vision for the kind of health care system we want to achieve and a path for getting there. The central focus must be on increasing value for patients, the health outcomes achieved per dollar spent (Porter, 2009). Good outcomes that are achieved efficiently are the goal, not the false “savings” from cost shifting and restricted services. Indeed, the only way to truly contain costs in health care is to improve the outcomes: in a value-based system, achieving and maintaining good health is inherently less costly than dealing with poor health, reason for why VBC is a hot topic today (“A Strategy for Health Care Reform - Toward a Value-Based System”, Lockwood, 2015). The value-based care movement is aggressively moving forward and is unlikely to slow anytime soon. This change can be highly disruptive for established orthopedic surgeons and intimidating for those in training (Richard, et al., 2013). To define value-based care rather than be defined by it, we must engage in it, we must understand it, and we must lead the movement. An efficient, equitable, and effective health care system can arise from the current tumultuous environment, but only if it is led by providers and not just policymakers (Richard, et al., …show more content…
The show too challenged supplier workflows since doctors were seeing more patients and each claim had to be prepared in a divided network. To drive down health care costs and make strides persistent results, the federal government planned value-based care programs, this is why it became a hot topic now a day. These repayment and care models, pivot on progressing quality of care while expanding patient get to and bookkeeping for cost at the point of care. (“What is value-based care, what it implies for providers,2016”). In this system patients get the care they deserve with less cost. Payers are concentrating on the patient outcome with less cost in order to reimburse the providers. Providers cannot make any duplication of test or unnecessary order because their report is monitored by the payers in which it will affect their incentive. “Value-based care is driven by data because providers must report to payers on specific metrics and demonstrate improvement.” (“What is value-based care, what is means for providers,