Value-Based Payment Reforms in Cardiovascular Care: Progress to Date and Next Steps

Methodist Debakey Cardiovasc J. 2020 Jul-Sep;16(3):232-240. doi: 10.14797/mdcj-16-3-232.

Abstract

In an effort to curb excessive health care spending and incentivize high-quality care, many payers have implemented value-based payment reforms designed to pay for the quality rather than the quantity of health care services. Medicare, the largest payer in the United States, has implemented numerous value-based payment policies over the past decade, many of which affect cardiovascular care. In this review, we discuss some of these major nationwide value-based payment reforms as they relate to cardiovascular care and what we may expect in the future from cardiovascular value-based policies.

Keywords: cardiovascular diseases; delivery of health care; health care reform; health expenditures; quality of health care.

Publication types

  • Review

MeSH terms

  • Accountable Care Organizations / economics
  • Cardiology / economics*
  • Cardiology / legislation & jurisprudence
  • Cardiovascular Diseases / diagnosis
  • Cardiovascular Diseases / economics*
  • Cardiovascular Diseases / therapy*
  • Health Care Costs* / legislation & jurisprudence
  • Health Care Reform / economics*
  • Health Care Reform / legislation & jurisprudence
  • Health Policy
  • Humans
  • Medicare / economics*
  • Medicare / legislation & jurisprudence
  • Outcome and Process Assessment, Health Care / economics*
  • Patient Care Bundles / economics
  • Policy Making
  • Treatment Outcome
  • United States
  • Value-Based Health Insurance / economics*
  • Value-Based Purchasing / economics*
  • Value-Based Purchasing / legislation & jurisprudence