New Study: Finding a Faster Path to Value-Based Care

June 29, 2016

We just announced the findings of a study Quest Diagnostics jointly commissioned with Inovalon entitled, “Finding a Faster Path to Value-Based Care.” We asked physicians and health plan executives how they perceive progress toward value-based care and what challenges may be preventing more rapid adoption.

A few things stand out about the study. First, it’s evident that physicians and health plan executives have differing perceptions about progress being made in value-based care adoption. There’s clearly more work to be done, but this study helps all of us by establishing consensus about the real challenges that still exist at the point of care. This can form the basis for even more collaboration between health insurers, health systems and the physicians.

Complexity is still a significant obstacle, however (74 percent of physicians and health plan executives say that quality measures are too complex, making it difficult for physicians to achieve them). Clearly, having to adhere to multiple quality scoring systems, risk adjustment models, reimbursement rules, and incentives continues to challenge the industry. The study makes it clear that new tools are still needed and wanted to mitigate this complexity at the point of care.

The study also reveals that lack of access to complete patient data at the point of care continues to hinder physicians (roughly two thirds of physicians say they do not have all the healthcare information they need about their patients). Evidently, physicians want more information about patients to improve care and outcomes, and it’s clear the current system is not adequately addressing this need.

This is where new tools could come in, and the demand is clearly there: 64 percent of physicians and health plan executives in the study say that physicians do not have the tools needed to succeed in a value-based care system. The encouraging sign is that 85 percent of physicians say they are likely or very likely to use a tool that provides on-demand, patient-specific data to identify gaps in quality, risk and utilization as well as medical history insight within the clinical workflow in real-time.

Finally, as you’ll read in the study’s executive summary, these findings shouldn’t be seen in a negative light. In fact, by revealing the main obstacles and reconciling differences that are still slowing value-based care adoption, there’s potential for only positive outcomes. Ideally, we’ll be one step closer to realizing the promise of technology in healthcare to deliver data directly to physicians at the point of care that leads to higher-quality care at a better value. 


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