First introduced in the mid 2000’s, value-based care was brought to the forefront of medical practice with the 2015 passage of MACRA1. Designed to treat the entire patient, both in illness and health, and reward improved health, value-based care was the antidote to a fee-for-service (FFS), solely treatment- and diagnostic-based approach to the practice of medicine. In theory, it was exactly what both doctors and patients needed to create a culture of improved health and reduce the healthcare system burden of disease. So why, then, has it failed so spectacularly thus far?
While it’s nearly impossible to attribute just one, or even a handful of causes to the lack of traction or success for value-based care, it is possible to assess influence and recommend focused avenues for positive change. Here are a few key areas where changes could have a profound impact and lead to greater success for value-based care.