The Historical Development of Value-Based Care: How We Got Here

The Historical Development of Value-Based Care: How We Got Here

The original architects of Medicare modeled the payment system on the existing fee-for-service (FFS) structure that historically dominated the health-insurance market. Under the FFS paradigm, health-care expenditures experienced an exponential rise. In response, the managed care and capitation model...

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Veröffentlicht in:Journal of bone and joint surgery. American volume 2018-11, Vol.100 (22), p.e144-e144
Hauptverfasser: Novikov, David, Cizmic, Zlatan, Feng, James E., Iorio, Richard, Meftah, Morteza
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container_end_page e144
container_issue 22
container_start_page e144
container_title Journal of bone and joint surgery. American volume
container_volume 100
creator Novikov, David
Cizmic, Zlatan
Feng, James E.
Iorio, Richard
Meftah, Morteza
description The original architects of Medicare modeled the payment system on the existing fee-for-service (FFS) structure that historically dominated the health-insurance market. Under the FFS paradigm, health-care expenditures experienced an exponential rise. In response, the managed care and capitation models of health-care delivery were developed. However, changes in Medicare reimbursement, along with an increasing volume of orthopaedic procedures and escalating implant costs, call into question the cost-effectiveness of this service line. The success of the Medicare Acute Care Episode (ACE) Demonstration Project proved the feasibility of value-based care and ushered in a new era of bundled payment initiatives.
doi_str_mv 10.2106/JBJS.18.00571
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title The Historical Development of Value-Based Care: How We Got Here
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