Catalyst for Payment Reform released its 2014 National Scorecard on Payment Reform:
- 40% of commercial sector payments to doctors and hospitals now contain value-oriented payments. Defined as targeting improved quality and reduced waste.
- In 2013, these payments only totaled 11%, a nearly 4X jump. This is a tipping point cleverly expressed as solving the Penguin Problem by industry analyst Vince Kuraitis; no one moves unless everyone moves.
- Here are the categories that make up the 40%: Note that FFS = fee-for-service; P4P = pay for performance.
|15.0%||Full capitation||1.0%||Shared risk|
|12.8%||FFS-based + P4P||0.6%||Non-FFS non-visit|
|6.7%||Other||0.2%||Non-FFS shared savings|
|2.0%||FFS + shared savings||0.1%||Bundled payment|
|1.6%||Partial cap or by condition|
- Half of these payments are “at risk” and half are upside only. Specialists get 71% of payments and primary care 29%.