Speech The Shift From Volume to Value: Emerging Reimbursement and Alignment Models

The Shift From Volume to Value: Emerging Reimbursement and Alignment Models

Consumers, employer groups, and governmental payers are demanding value for their healthcare dollars. To meet these demands for increasing value, providers are working with payers to revise payment methodologies that create the mutual incentives designed to reward the improved value. The Patient Protection and Affordable Care Act, a major driver in the evolution of the reimbursement system, has also generated a newfound impetus among many payers and providers to create more innovative, incentive-based payment systems. This presentation addresses the innovative approaches and payment methodologies that are the building blocks for integrating care and provides an overview of the legal, financial, and organizational framework for accountable care organizations.