Do Physicians Have the Right Tools to Deliver Value-Based Care?

Do Physicians Have the Right Tools to Deliver Value-Based Care?


Analytics are rapidly changing how physicians and health systems approach patient care. Data is also increasingly used to create a more open dialogue between providers and patients. At the same time that healthcare is becoming more data- and technology-driven, the way providers are compensated for the care they deliver is changing. Increasingly reimbursement is tied to “value” –the quality of care providers deliver, not on the type or quantity of services they provide.

The question is: Do physicians have the right tools to deliver value-based care?

A recent study suggests the answer is no. Commissioned by Quest Diagnostics and Inovalon, Finding a Faster Path to Value-Based Care shows that the complexity of managing multiple quality scoring systems, risk adjustment models, reimbursement rules, incentives and penalties related to value-based care is far more challenging for physicians than may be generally acknowledged. It’s also clear that new tools are needed and wanted to overcome these obstacles.

The survey found that fewer than half of all respondents (47%) agreed that it’s clear to physicians which quality measures apply to their individual patients under value-based care models. Seventy-nine percent of the physicians surveyed said they do not know the quality metrics that apply to individual patients that would allow their practice to qualify for financial incentives under value-based care models.

Value-based care models require physicians to have this information at the point of care so they can align care with quality, outcomes and other measures on which financial incentives are based. Imagine how much financial leakage occurs that could be stemmed if physicians had ready access to this information so as to align care with quality measures during the patient consult. READ MORE

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