The first annual national scorecard on payment reform indicates that only about 11% of healthcare payments are tied to quality performance indicators. This must be doubled by 2020 to meet the goal The Catalyst for Payment Reform set for 20% of private payer payments to be tied to performance metrics.
The Catalyst for Payment Reform (CPR) is an independent, non-profit coalition for better value in health care. They combined voluntarily submitted data to create the National Scorecard on Payment Reform. The 20% value-oriented payment goal is based on insights gained from collaborating with large national corporations and public purchasers. The scorecard shows that about 90% of payments are traditional fee-for-service payments, bundled, capitated or partially-capitated payments with no tie to quality incentives, leaving only 10.9% as value-based payments. Of those value based payments, 43% of the payments offer providers financial incentives for higher quality and 57% put providers at financial risk if they do not meet quality goals. The scorecard illustrates information about the share of healthcare payments made to specialists in comparison to primary care physicians, transparency measures and other vital information. To view the scorecard, please click here.