The Evolution of Value Based Care

We’ve seen the evolution of bundled payments, shared savings, Medicare Advantage plans, and most recently, Direct Contracting Entities (DCE). There have also been changes to regulatory hurdles (Anti-Kickback Statute, the Stark Law, and HIPAA) which have historically hindered innovative value-based payment initiatives. Yet, we still see far more fee-for-service payments than value-based payments. What obstacles remain for physicians to accept partial or full risk? How should they think about direct contracting relative to Medicare Advantage contracting? Are certain regions more VBC-ready than others?