Practice tip of the week: Barriers to value-based care

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With all the useful information available on Physicians Practice, it is easy to become overwhelmed.

With this in mind, the tip of the week is a chance to reflect on some of the wisdom found all across the site. In this June 2024 story on the biggest barriers to transitioning to value-based care, Hillit Meidar-Alfi, PhD gives this tip:

Risks of trial and error cost ACOs money

From CMS' perspective, the purpose of the regulations on data collection and equity plan requirements is to help ACOs effectively lower costs and improve quality within the new value-based care model. However, CMS has not provided tooling for achieving these desired results.

ACOs might be tempted to do minimal efforts that show a good faith attempt at addressing disparities but without diving into the details of the efficacy of their method. However, a minimal effort and "winging it" approach pose real and large financial risk for ACOs as they could be penalized for failure to comply completely. And here’s the kicker: It’s a risk ACOs don’t have to take if they use the right tooling. They don’t even have to build it themselves.

Click here to read the rest of the article and be sure to check back next week for another Tip of the Week!