This article, published in Health Affairs, critiques value-based care, emphasizing the need for proactive care models like ACO REACH, while addressing concerns about consolidation and regulatory advancements to promote competition and reduce healthcare costs.
Primary care providers (PCPs) in the US are burdened with administrative tasks and under-compensation, impacting downstream healthcare costs. The limitations of existing value-based care models creates an opportunity to explore the potential of Specialty Risk Partners (SRPs), mission-driven companies managing distinct patient cohorts based on clinical disease burdens. Pearl Health proposes a risk marketplace to enable physician-led healthcare, by aligning PCPs with SRPs through financial incentives to improve healthcare outcomes and benefit all parties involved.
The Value-Based Healthcare Model Is the Future Fee-for-service billing has been the dominant financial structure throughout the history of modern US healthcare. This payment structure