The COVID Reset: Reimagining Health Care Delivery and Reimbursement

Regardless of the specific reimbursement model, value-based care requires that all health care stakeholders possess the ability to leverage data. Data-driven action is critical to understanding the needs of individual patients to provide the care they need.

Pay-for-performance models may benefit resource-constrained small or rural practices that require more time to make the transition to value-based care. The adjustments necessary to manage value, including staff training, process development, and data access, can take time to establish. As with all alternative payment models, physicians must monitor and report quality and cost information.

This model also affords greater flexibility in health care delivery, such as offering telehealth or in-person visits, incorporating services that address social determinants of health, and other opportunities that allow providers to tailor care to the individual as well as the broader population under their care.