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Value-based care

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Note from the editor

The U.S. healthcare industry has been slowly transitioning to paying for value instead of volume over the past decade. Many private payers and providers have championed the move, even introducing their own alternative payment programs, while some have held off on adopting value-based models, preferring instead lucrative, costly fee-for-service.

Roughly one in five payments is tied to some sort of quality model, and that's only projected to increase. But leaders on the value-based frontier worry the coronavirus pandemic could delay this sea change as providers, facing shrinking margins and an influx of COVID-19 patients, look for ways to recoup revenue in the short-term.

Doctors in value-based arrangements like accountable care organizations assume financial risk — a scary proposition given the uncertainty of the times. But as medical costs continue to skyrocket, some hope the pandemic will nudge providers to adopt value-based care as they look to diversify revenue streams, bringing the movement back on track.

Rebecca Pifer Reporter

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