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    Area of Science:

    • Healthcare Management
    • Health Policy
    • Value-Based Care

    Background:

    • Value-based care (VBC) models are increasingly adopted to improve healthcare quality and control costs.
    • Physician adoption of VBC is crucial for its success, but faces perceived barriers.
    • Health insurance executives play a key role in VBC implementation and oversight.

    Purpose of the Study:

    • To explore physician and health insurance executive perspectives on the feasibility of value-based care implementation.
    • To identify key barriers and facilitators impacting the transition to value-based care.
    • To assess the alignment of perspectives between providers and payers regarding VBC.

    Main Methods:

    • Qualitative interviews with physicians and health insurance executives.
    • Analysis of physician and executive viewpoints on VBC tools and resources.
    • Examination of opinions on the complexity of quality measures in VBC.

    Main Results:

    • Physicians report a significant lack of necessary tools and resources to effectively implement value-based care.
    • Health insurance executives express a more optimistic view, suggesting the situation is manageable.
    • A consensus exists between physicians and executives that current quality measures are excessively complex.

    Conclusions:

    • The transition to value-based care is impeded by a perceived deficit in essential tools for physicians.
    • Addressing the complexity of quality measures is a critical area for potential collaboration between providers and payers.
    • Further dialogue and resource development are needed to facilitate successful value-based care adoption.