An article in Modern Healthcare notes that ”value-based contracting will not be a panacea for healthcare payment spats….What will change will be the sticking points between insurers and providers—issues such as per-member per-month fees and performance measures….”
”Some believe ‘we’re going to see more of these price disputes than less,’ said Texas A&M health economist Michael Morrisey, because true price transparency has not yet permeated the consumer market and negotiations remain veiled in secrecy.”
Still, Richard Hirth, a health-policy professor at the University of Michigan, told Modern Healthcare, ”value-based reimbursement might decrease price conflicts because it should, hypothetically, result in more collaborative, less wasteful care.
“If their incentives are a little more aligned, they obviously have less to fight about,” Hirth said.
The news service said: ”Experts predict that determining lump-sum payments, quality metrics to be used for bonuses or penalties, and arrangements for how shared savings should be split will be the new payment bargaining chips.”