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Clearing the Way to Value-Based Care Success

Clearing the Way to Value-Based Care Success
PHM Cornerstone Summit White Paper 2019

Authored by: | Read Time: 24  minutes

When CMS rolled out the Medicare Shared Savings Program in 2011, it helped initiate a wave of optimism that value-based reimbursement (VBR) programs would go a long way toward resolving the persistent problem of rising healthcare costs. Eight years later, some say that VBR has not lived up to its promises, and enthusiasm seems to be shrinking as many provider organizations hesitate to take on meaningful risk. Those that press forward often find that expected financial outcomes are out of reach. What happened to dampen enthusiasm? Why is success so difficult to achieve?

On November 14, 2018, leading executives from provider, payer, and vendor organizations convened in Salt Lake City, UT, to help answer these questions. Together, they identified strategic and operational barriers that have dampened VBR headway as well as potential solutions to clear the way. They also discussed ways to measure VBR progress in the future at both national and organizational levels. This document is being publicly shared to help all those that may benefit from the combined experience and expertise of summit attendees. (See page 15 for a list of attendees.)

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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2019 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.