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| Does the Implementation of Value-based payment Improve the Quality of Health Care?
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Abdelmonaem Abunnur, MBA, MHA and Dr. Bruce Lazar, MBA, DM
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Abstract:
The fee-for-service payment model in the US healthcare system had significant limitations, and the shift toward a value-based payment model to increase quality care and lower costs has occurred. Implementing this newer model to improve the quality of care and reduce healthcare costs has come with significant challenges and varied outcomes. The systematic literature review aimed to determine what value-based payment system enhances healthcare quality and patient satisfaction and lowers healthcare costs compared to a fee-for-service model. The systematic review utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist (PRISMA). The study used the Medical Literature Analysis and Retrieval System academic databases and Cumulative Index to Nursing and Allied Health Literature indexes to conduct a thorough literature search. Data from 29 related articles were thematically analyzed using a process of constant comparing of notes, information screening, and categorizing criteria to help answer the research question. Of the four themes that emerged from the analysis, 24% of the articles indicated a direct impact on healthcare quality, while 52 % showed a mixed result. In addition, 28% directly impact the cost of health care, while 48% show a mixed effect. The findings demonstrated that the availability and accessibility of data collection, reporting, and sharing must support the payment mode to impact healthcare quality and cost-effectively. The results showed that healthcare providers' collaboration and integration help avoid unnecessary costs within a system. The systematic review revealed that the value-based payment system produced mixed results regarding its effect on the quality of care and the cost of services. The outcomes displayed that critical barriers and conditions appeared to constrain this payment system from achieving adequate effectiveness and results.
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