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Survey: Many Healthcare Organizations Still Sluggish with Move to Value-Based Care

October 27, 2017
by Rajiv Leventhal
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Three in 10 healthcare executive respondents said in a recent survey that they have entered into one or more value-based care arrangements.

The research, from Chicago-based accounting and advisory firm Baker Tilly, included responses from about 350 healthcare executives over the course of late 2016 into 2017. They survey found that 37 percent of respondents believe payers find cost effectiveness most appealing when choosing value-based care provider partners. Thirty-one percent of respondents said they are not currently participating in any kind of value-based care incentive program.

Just 7 percent of those surveyed said they would consider their organization’s technology infrastructure readiness for value-based care as “very good,” while 27 percent said they have not yet begun to create a roadmap to transition to value-based care.

Healthcare executive respondents were also asked questions about their levels of readiness for MACRA (the Medicare Access and CHIP Reauthorization Act of 2015). Eight percent said they are starting to execute on MACRA plans/making plans for maximizing on MACRA returns, and 35 percent have taken no action to plan for MACRA or are still getting up to speed on the regulations. Twenty-six percent said they planned to participate in MACRA’s “pick your pace” option for 2017 (year one), while the remaining 74 percent said they didn’t know their organization’s MACRA plan or didn’t respond.

Meanwhile, 70 percent of respondents have not yet implemented systems and processes for the reduction of hospital readmissions or are only now beginning to consider them. And regarding the management of bundled payment programs, 25 percent said their organization is not yet ready, 16 percent said their organization is ready, and 31 percent said they were unsure.

There has been no shortage of data lately on how stakeholders are progressing in their value-based care initiatives, with the most common takeaway being that plans are moving along slowly. Just this week, a Deloitte Center for Health Solution report quoted one healthcare system CEO as saying, “[Value-based care] is a major [concern], [but] it is moving backwards. We can’t find payers, whether it be insurers or businesses, who seem tremendously interested in moving in that direction.” 

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