How to Accelerate Value-Based Care Despite Looming Healthcare Crisis

How to Accelerate Value-Based Care Despite Looming Healthcare Crisis

Don Antonucci, president and chief executive officer of Providence Health Plan, has been working with health plans for over 25 years in a variety of roles, from sales to growth, from manager to CEO. During those years, he has watched value-based care take root. Looking at the current state of the industry, he expressed concern.The US healthcare system is approaching a breaking point that could occur within the next two to three years, Antonucci told HealthPayerIntelligence at AHIP 2024. At that point, without further intervention, the mental health epidemic, affordability crisis, fragmentation, and burnout will become unsustainable.After decades of conversation around transitioning to quality over quantity, payers and providers have the tools necessary to make the leap. But many remain hesitant.

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The US healthcare system is approaching a breaking point that could occur within the next two to three years, Antonucci told HealthPayerIntelligence at AHIP 2024. At that point, without further intervention, the mental health epidemic, affordability crisis, fragmentation, and burnout will become unsustainable. After decades of conversation around transitioning to quality over quantity, payers and providers have the tools necessary to make the leap. But many remain hesitant. Providers in particular report that they lack the resources to invest in the infrastructure and staffing capabilities to necessary for value-based care efforts. They also cite concerns about inconsistent or complex quality metrics. For some sectors of the industry, there may not be enough value-based care models that fit their populations and workflows. 


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