Theoretical and Methodological Issues in Research Related to Value-Based Approaches in Healthcare

Under this approach, healthcare is moving toward a value-based system of reimbursement whereby performance or quality of care is the basis of reimbursement for providers and systems. Since passage of the Affordable Care Act (ACA) in 2010, evidence has been growing that value-based approaches are bei...

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Bibliographic Details
Published in:Journal of healthcare management 2016-11, Vol.61 (6), p.402-418
Main Authors: Mkanta, William N, Katta, Madhuri, Basireddy, Karthika, English, Gary, Mejia de Grubb, Maria C
Format: Article
Language:English
Subjects:
Analysis
Cost control
Delivery of Health Care
Forecasts and trends
Health administration
Health care policy
Health services
Humans
Management
Medical care
Medical care, Cost of
Medical personnel
Patient-centered care
Product development
Professionals
Quality
Reimbursement
Researchers
Strategic planning
Studies
Success
United States
Value chain
Value-based care
Value-Based Purchasing
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Summary:Under this approach, healthcare is moving toward a value-based system of reimbursement whereby performance or quality of care is the basis of reimbursement for providers and systems. Since passage of the Affordable Care Act (ACA) in 2010, evidence has been growing that value-based approaches are being adopted by healthcare organizations. Unfortunately, with all the deliberations and, to some extent, implementation of the transformations related to value in healthcare, the concepts of value and value-based care have been defined differently by researchers, providers, and healthcare organizations. Because the main premise of value-based approaches is to generate a data-driven system of care, reimbursement, monitoring, and service improvement, a working definition of value must be determined and adopted for successful generation of comparable data.
ISSN:1096-9012
1944-7396
DOI:10.1097/00115514-201611000-00005