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If you’re a health care provider preparing to succeed on your own, we can show you how to do just that.

The effects of health care payment reform



Under the Affordable Care Act (ACA), healthcare payment reform is moving away from the traditional fee-for-service model to a system of value-based healthcare. The term “value-based healthcare” encompasses a range of initiatives aimed at both reducing costs and improving healthcare quality.

Healthcare payment reform is about creating and rewarding quality rather than volume, by taking away the incentive for providers to earn more money by doing more procedures. Instead, providers are rewarded for achieving healthcare quality and favorable cost outcomes. And, perhaps more important, providers can be penalized for failing to meet certain quality and cost benchmarks. As healthcare payment reform continues to replace the old fee-for-service model, physicians will be on the hook for demonstrating clinical outcomes and providing seamless care coordination in order to receive payment.

For independent physicians, this means:

  • Understanding the new expectations driven by healthcare payment reform
  • Building connections to clinical partners to promote effective care coordination
  • Focusing on patient engagement
  • Having systems in place to track and report on healthcare quality measures, to meet new guidelines under healthcare payment reform.

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