Yesterday Bob Berenson of the Urban Institute graciously
walked dozens of webinar participants through the pros and cons of the main
payment reform options – fee-for-service, capitation/population-based payment,
shared savings and bundles/episodes – and the key challenges of each. Several
CT plans are now considering implementing shared savings models, including
Medicaid. The main takeaways, from both the webinar and the questions from CT
stakeholders, were:
· Everyone agrees on the concept of value-based
purchasing, but there is no consensus on “value” or how to measure it
· There is a great deal of diversity in each model
· No single model is perfect, enlightened systems
are moving to a merged model using multiple levers to address the drawbacks in
each model
· Medicaid is different – underpayment and other
features raise the risk of underservice and reduce incentives for overtreatment
Click here for a video
of the webinar and here
for slides.
