“REACHing” for equity—moving from regressive toward progressive value-based payment
S Gondi, K Joynt Maddox… - New England Journal of …, 2022 - Mass Medical Soc
New England Journal of Medicine, 2022•Mass Medical Soc
… Perhaps more concerning is that many value-based payment programs have been
regressive, which has hampered the pursuit of health equity. For example, Medicare’s Merit-Based
Incentive Payment System (MIPS) has disproportionately penalized outpatient clinicians
who care for poor adults. Similarly, all three of Medicare’s hospital … Value-based payment
models implemented over the past decade have often been regressive, moving dollars
away from patients, providers, and communities with fewer resources and toward those with …
regressive, which has hampered the pursuit of health equity. For example, Medicare’s Merit-Based
Incentive Payment System (MIPS) has disproportionately penalized outpatient clinicians
who care for poor adults. Similarly, all three of Medicare’s hospital … Value-based payment
models implemented over the past decade have often been regressive, moving dollars
away from patients, providers, and communities with fewer resources and toward those with …
“REACHing” for Equity
Recent value-based payment models have often moved dollars away from patients and providers with fewer resources and toward those with more. A new model names promoting equity as a central goal.
The New England Journal Of Medicine