The Changing Healthcare Landscape
Two beliefs permeate healthcare executives’ views:
- The industry is in a time of unprecedented change – healthcare provider organizations will look profoundly different 10 years from now
- The biggest change for providers is a future business model that incentivizes population health instead of fee-for-service.
Making this a reality will not only require massive payment model restructuring, but will also demand corresponding changes in our quality metrics and methodology.
These changes are already underway. By 2017, Value-Based Purchasing will put up to 11 percent of hospital Medicare reimbursement at risk. Additionally, CMS’ ACO shared savings programs and other private-insurer ACO partnerships demand a minimum level of quality performance across dozens of clinical measures. The question remains whether the current measures and methodologies can adequately serve the universal goals of improving population health outcomes and lowering overall costs.