Provider behavior change and value-based incentives: AJMC study says more can be done to accelerate healthcare transformation
Value-based payment (VBP) has the potential to improve care delivery in physician organizations (POs) if stakeholders begin to implement four program-enhancing strategies, according to a RAND Corporation article published in the February issue of The American Journal of Managed Care.
After interviewing and surveying 40 multispecialty POs participating in the Value Based Pay for Performance program of the California Integrated Healthcare Association, the researchers learned that although VBP adoption did lead to primary care redesign it did little to advance specialty-care redesign, increase improvements to health information technology infrastructure, increase cost-awareness or influence specialists who are not exclusive to the PO.
The authors theorized that positive changes in care delivery could happen if:
- POs receive stronger financial incentives for value
- specialists are better engaged in care redesign and delivering value
- partnerships among POs, hospitals, and payers are enhanced in ways that will align quality and cost actions
- information exchange across providers is strengthened
