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Existing and Emerging Payment and Delivery Reforms in Cardiology
Steven A Farmer1,2,3, Margaret L Darling3, Meaghan George2
1George Washington University School of Medicine & Health Sciences, Washington, DC.
JAMA Cardiology
|November 17, 2016
Summary
Cardiologists must adapt to new healthcare payment models for better patient access, lower costs, and improved quality. Understanding evolving payment reforms is crucial for success in the changing landscape.
Area of Science:
- Health economics
- Cardiology practice management
Background:
- Healthcare reforms focus on value-based care, impacting cardiology.
- Payment reform is a key strategy for payers to improve access, cost, and quality.
Purpose of the Study:
- To review current payment and delivery reforms affecting cardiologists.
- To present emerging payment models in cardiology.
- To analyze the implications of these models for clinical practice.
Main Methods:
- Review of existing payment and delivery reforms.
- Identification and analysis of four emerging cardiology payment models.
Main Results:
- Current models often modify fee-for-service or focus on episodic care, with emerging population-based approaches.
- Adoption of new payment models has been slow, with limitations in existing programs.
- New reforms aim to address issues but require further definition.
Conclusions:
- Participation in new payment models will become essential for cardiologists.
- Early engagement allows for skill development in new care pathways with reduced risk.
- Understanding and adapting to payment reform is vital for future cardiology practice.
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