The Shift to Value-Based Care: Begin with Medical Training

The problem is that in the fee-for-service world, the large academic medical centers are paid for doing things rather than keeping patients healthy and out of the hospital.

In the beginning, it was a well-meaning attempt to standardize reimbursements based on complexity of care, but over time it has been perverted to incent volume of services delivered, rather than health outcomes achieved.

In value-based health care models like the one I work in at ChenMed, our primary care physicians are the key to our business model, because the only way we do well financially is if our patients do well. If our patients end up in the hospital, we pay for it. So we put all of our energy into prevention, into keeping our patients healthy and at home.