Premier recently published a white paper titled Building Successful Two-Sided Risk Models, which discusses evolving risk-based alternative payment models and uncovers insights around the capabilities health systems need to achieve success in today’s value-based payment environment.
A recent Premier C-Suite survey identified five barriers to achieving success in value-based care, alternative payment models:
1. Balancing health system margin pressure from both managing participation in fee-for-service and value-based payment arrangements successfully – with 100 percent of respondents suggesting it’s a challenge (85 percent said it is a significant issue).
2. Aligning physician and other provider compensation and incentives with new payment models (61 percent);
3. Developing an effective cross-continuum care management system with primary care physicians and other providers (59 percent);
4. Creating and incentivizing high-value network participants across the entire continuum (59 percent); and
5. Population health data management, including an effective claims analytics system (56 percent).
“There’s no question that antiquated fee-for-service policies are impeding success in value-based payment programs. Managing in both worlds is a difficult challenge. While our members are asking for these issues to be addressed so they can better serve their patients, they are also following best practices based on what’s working across the PHMC to create aligned incentives, effective high-value networks, clinical integration and robust data management systems,” Joe Damore, vice president of population health management at Premier in a statement.