Free White Paper: Value-Based Reimbursement in 2015

Healthcare's inevitable shift from volume- to value-based reimbursement is reflected not only in Medicare's alternative payment time line but also in the growing number of commercial payors now rewarding providers based on the quality of care they deliver instead of the number of services and procedures they perform.

And judging by responses to an inaugural survey on value-based reimbursement, healthcare organizations are reacting to this movement: 71 percent of survey respondents employ a value-based reimbursement or alternative payment model.

The October 2015 survey by the Healthcare Intelligence Network also determined that of those respondents that have not yet explored a fee-for-value approach, 26 percent plan to do so in the coming year. In assessing value-based payment formulas, 56 percent of respondents favor a pay-for-performance model, with 71 percent employing these models in contracts for commercial populations.

Value-Based Reimbursement in 2015: Quality, Satisfaction Markers Drive Healthcare Provider RewardsDownload this HINtelligence report for more data on the most common technology supporting value-based reimbursement, impact of value-based reimbursement models on emergency room high-utilizers, clinical quality improvements due to value-based reimbursement contracts and much more. Click here to download the report today.

Customized reports, including benchmark results by industry sector, are available upon request.

This white paper is an excerpt from 2015 Healthcare Benchmarks: Value-Based Reimbursement, which captures the healthcare industry's reaction to payment formulas for value-added care, and how this shift away from fee-for-service is transforming care delivery and quality. Click here for more information.

This 40-page report, based on responses from more than 80 healthcare companies to HIN's inaugural survey on value-based reimbursement, compiles a collection of metrics presented in data tables and dozens of charts.

The 2015 market metrics in this report encompass the following data points:

  • Current use of value-based reimbursement or alternative payment models;
  • Favored value-based payment models, including patient-centered medical home (PCMH), accountable care organization (ACO), bundled payments,and others;
  • Number of beneficiaries covered by value-based reimbursement models;
  • Number of physicians reimbursed via value-based contracts;
  • Percentage of provider compensation that is value-based;
  • Provider metrics evaluated to determine value-based payments;
  • Tools and technologies supporting value-based models;
  • Program components related to value-based payment models (e.g. physician report cards, staff incentives, etc.);
  • Most effective tools, workflows or protocols in a value-based reimbursement strategy, in respondents' own words;
  • Annual savings attributed to value-based reimbursement models;
  • Most significant challenge of implementing a value-based reimbursement strategy;
  • Impact of quality-focused payment on clinical and organizational outcomes, including care coordinaton, patient satisfaction, healthcare services utlization, etc.;
  • Program ROI;
  • Greatest successes to date attributed to value-based reimbursement;
  • The complete September 2015 Value-Based Reimbursement survey tool;
and much more, including respondents' thoughts on availability of sufficient tools and technology to enable providers to succeed under value-based reimbursement models.

Order your copy of 2015 Healthcare Benchmarks: Value-Based Reimbursement today online at:


Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network

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