This is opposite of how VBC incentives are structured today. If we reward doctors for the right actions they are already doing then they will do more of that. I would love to see us put an incentive in front of a doctor tomorrow for the action they did yesterday. That way, when they come into a broader risk contract or any kind of risk arrangement, they are already doing the things we want them to do in a VBC world. We need to encourage value-based behaviors that allow for a smooth transition to where providers are accepting of new risk models.Įssentially, we need to think about how we nudge providers to do the right things. We haven’t done a good job at putting the right incentives in place that will encourage the adoption of Value-Based Care (VBC). How come we remain predominantly fee-for-service?
We’ve been talking about Value-Based Care for a while now. When you do that, we’ll see meaningful progress on reducing costs AND improving care. We have to help them understand which clinical measures are going to create better outcomes and also have an outsized impact on costs. We just have to be able to deliver the information to clinicians in the right way. There is ample opportunity to be able to improve both. If you can then take those measures and show how improving them will also drive down cost – then we will see real behavior change. To actually lower costs, you have to be able to talk to providers about the clinical and quality performance measures that are truly driving better outcomes, not the ones we think are leading to better outcomes. We grilled him with 3 questions about the state of the healthcare industry.Īfter a decade of focusing on reducing healthcare costs, have we made any meaningful progress? Healthcare IT Today sat down with Keith Florance, Senior Vice President and General Manager of Payers at Clarify Health at the recent #HLTH2022 conference.
It is rare that a company will agree to sit down to answer tough questions, but Clarify Health was up for the challenge.
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