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Success in Transforming to a Value-Based System

October 15, 2015 Drew Ivan

The US healthcare system is undergoing much-needed reform. Patient encounters have traditionally been considered isolated events that primarily happen when patients are sick. Consequently, healthcare in the US, from appointment-booking to medical record-keeping to billing, was built on the idea that healthcare is episodic.

In line with this siloed approach, members of a care team usually worked independently, ignorant of each other’s findings, plans or actions. This approach was exacerbated by financial incentives dictating a focus on treatments, with no one responsible for the patient’s health outcome.

With healthcare reform, the Affordable Care Act, and other market forces, the US healthcare system has begun to shift from an episodic, fee-for-service model to value-based reimbursement

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