Alternative Payment Models and Team-Based Care

Area of Science:

• Healthcare delivery models
• Health services research
• Value-based healthcare

Background:

• Team-based care delivery models have the potential to enhance patient, provider, and community outcomes.
• Existing barriers, particularly payment system disincentives, have hindered the full realization of team-based care benefits.

Purpose of the Study:

• To discuss team-based care within the framework of emerging value-based payment models.
• To analyze the potential costs and opportunities associated with these new payment structures for team-based care.

Main Methods:

• Commentary and analysis of existing literature and payment models.
• Discussion of the intersection between team-based care principles and value-based reimbursement strategies.

Main Results:

• Value-based payment models may offer new avenues for incentivizing and supporting team-based care.
• Potential costs associated with implementing and sustaining team-based care under new payment models require careful consideration.

Conclusions:

• Aligning payment systems with team-based care principles is crucial for maximizing its potential.
• Value-based care presents both challenges and significant opportunities for advancing effective team-based healthcare delivery.