Value-based reimbursement continues to lag behind fee-for-service — 3 survey insights

Organizations generate most of their revenue from fee-for-service payments despite regulations and guidelines aimed at driving value-based reimbursement, according to the NEJM Catalyst Insights Council Survey.

Advertisement

The survey comprised responses from 552 executive, clinical leader and clinician members of the NEJM Catalyst Insights Council.

Here’s what you should know:

1. On average, 75 percent of organizations’ revenue comes from fee-for-service reimbursement, respondents indicated. Only 25 percent comes from value-based reimbursement.

2. The revenue breakdown indicates the healthcare industry is “exercising an abundance of caution” in the transition to value-based reimbursement, surveyors concluded.

3. While 66 percent of executives and 64 percent of clinical leaders were able to identify where their organization’s revenue comes from, only 50 percent of clinicians knew that information.

More articles on coding, billing and collections:
CBC Surgery Center forges partnership with Access HealthNet — 3 details
Opinion: Bausch Health missing chance to own IBS market — 4 insights
CMS to terminate Medicare benefits of Retina Laser Eye Center — 6 insights

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.