News: Study anticipates jump in dependence on value based care

A May 2017 HealthLeaders Intelligence Report on Value-Based Readiness found that 74% of surveyed providers depend on fee-for-service payments, and the remaining 26% rely on value-based payment. Providers, however, say that mix will change to 48% fee-for-service and 52% value-based payments in three years, according to HealthLeaders Media.

Furthermore, 77% of net patient revenue in the surveyed provider organizations currently comes from fee-for-service payments while 23% comes from value-based payment. In that three-year time period, though, the survey respondents expect those numbers to change to 52% and 48% respectively.

These numbers mean an ever increasing need to focus on quality for CDI professionals. While, according to the 2017 ACDIS Physician Queries Benchmarking Survey, more than 50% of respondents conduct CDI reviews for primarily financial reasons, only 15.86% of respondents to the 2017 ACDIS CDI Industry Overview Survey reported not reviewing for quality. (Stay tuned: The CDI Industry Overview Survey will be released during CDI Week—September 18-22!)

According to all signs, the shift toward value-based payments continues. Over the next three years, CDI departments will potentially need to move further toward quality-focused reviews  as more and more reimbursement will be tied to it.

Editor’s note: To read the full article regarding the HealthLeaders Media survey, click here. To read the 2017 Physician Queries Benchmarking Survey report, click here. To read about CDI and quality, click here.