10 Years Later: Joseph Kvedar Looks at Value-Based Reimbursement's Lack of Progress

Joseph C. Kvedar, MD, reflects on the evolution of value-based reimbursement strategies in U.S. healthcare on the 10th anniversary of "The Internet of Healthy Things." He notes that while there has been some growth in value-based (VB) reimbursement, fee-for-service (FFS) models remain dominant, especially in inpatient care. Kvedar recalls the 2015 goal set by the Centers for Medicare and Medicaid Services (CMS) to achieve 90% value-based reimbursements by 2018, which has yet to be realized, particularly in hospital settings. Currently, about 75% of Medicare enrollees participate in some VB program, but progress has stalled, with limited adoption in Medicaid and employer-sponsored plans.

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