B2B Payments

Report: Health Care Payment Models Need Adjustment

The Office of the National Coordinator for Health Information Technology announced in a recent paper that the nation’s health care system – including its payment models– need to be adjusted if the U.S. hopes to achieve fully interoperable health information systems across all provider types by 2024.

Additionally, the paper explained that the government said it is going to work with federal agencies and private payers in order to create “new payment models that will remove the current disincentives to information exchange.”

“As value-based payment gains traction across Medicare, Medicaid, and commercial payers and purchasers, there will be new methods of measuring clinical quality that represent the most important aspects of care delivery and health outcomes,” the paper read.

The agency added that it will work with stakeholders to “refine standards, policies, and services to automate the continuous quality improvement process.” It is also necessary to deliver targeted clinical decision support that fits into a clinician’s workflow, as this can close care gaps and improve the quality and efficiency of care.

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