Is the Move to Value-Based Care More Than Managed Care Redux?
Author(s) -
Eugenie Komives
Publication year - 2016
Publication title -
north carolina medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.283
H-Index - 24
eISSN - 2379-4313
pISSN - 0029-2559
DOI - 10.18043/ncm.77.4.283
Subject(s) - reimbursement , medicaid , managed care , value based purchasing , health care , value (mathematics) , fee for service , business , quality (philosophy) , operations management , actuarial science , marketing , computer science , economics , philosophy , epistemology , machine learning , economic growth , purchasing
Medicare, Medicaid, and commercial insurers have committed to moving health care reimbursement from a fee-for-service system to a fee-for-value paradigm. Although this push for increased value is not new, the tools used to achieve this goal must change. This commentary will describe this evolution and will contrast prior quality and cost management approaches with those being implemented by health care systems today.
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