In his article for Forbes, Web Golinkin discusses the need to transition from a fee-for-service (FFS) model to value-based care (VBC) in healthcare. Golinkin emphasizes the importance of increasing access to primary care and strategies for enhancing its cost-effectiveness. He notes that while most providers aim to prioritize patient well-being, economic incentives often influence their behavior, making the FFS model less aligned with patient interests and overall healthcare system efficiency. Golinkin highlights three key VBC models with potential: bundled payments, shared savings, and global payments. These models aim to reduce costs and improve care quality by incentivizing providers to deliver efficient care.
Bundled payments involve pre-negotiated fees for entire episodes of care, such as surgeries, encouraging providers to reduce costs and improve outcomes. Shared savings models, often used in Medicare plans, allow providers to share in cost savings relative to benchmarks, incentivizing cost reduction efforts. Global payments provide a fixed fee per patient for all required care over a specified period, encouraging providers to deliver cost-effective care.
Golinkin emphasizes that while these models have potential, they must include quality measures to ensure necessary care isn't withheld. He concludes that transitioning to VBC from the FFS model is essential for sustainable and effective healthcare.
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