“…Value, as a principle, remains as solid as ever. In fact, it’s imperative. It’s the structures we’re experimenting with to deliver value that need work.
Researchers found that most VBP models lack strong financial incentives for managing the total cost of care—that is, little or no downside risk is built into these payment models. Furthermore, we can’t point fingers only at the payers who designed the models; providers are in no hurry to move beyond upside-only models. ….
Bottom line: All major stakeholders bear some responsibility for our collective lack of progress in improving value. Many of us apparently believe in value in theory, as long as it’s not changing the landscape of our own backyards….”