Kutner Shares Thoughts on Move to Value-Based Payments

October 1, 2020 | Health Services

Chris Kutner was quoted in the Managed Care Executive article, “Are we there yet? A look at 4 value-based care programs.” The article offers a snapshot of four efforts toward value-based care.

Chris gave his perspective on the Centers for Medicaid and Medicare Services’ (CMS) Oncology Care Model and its successor, Oncology Care First. He notes that commercial payers want to expand value-based models to better predict the cost of care. But he also points out claim systems were designed for fee-for-service reimbursement. “It’s a drastic change and challenging for payers and providers to operate on a bundled case rate or episodic payment structure.”

“Success hinges on oncologists being incentivized and enabled to deliver high-quality care alongside measurable cost savings,” Chris adds. “Cancer care is extremely expensive, so I am encouraged that there are some emerging opportunities that stakeholders must examine in order to realize value in today’s oncology reimbursement models.”

To read the article, click here.

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