To prepare for healthcare payment reform being debated by Congress and the White House, hospitals must focus on integration with physicians, improving quality and promoting prevention, the Healthcare Financial Management Association said in a white paper released on the opening day of its Annual National Institute in Seattle.
All signs point to changes in payment streams that will provide the incentives for hospitals and other providers to collaborate to reduce costs and improve quality, the Westchester, Ill.-based association said in the second of two papers on how to overhaul the industrys financing. In June 2008, HFMA unveiled its proposal for payment that put financial incentives at the heart of efforts to curb healthcare inflation and improve access.
The latest paper underscores those points. Payment reform experiments already under way suggest changes will tie financial incentives to clinical outcomes; care for a condition, rather than payment for a specific procedure; and prevention, HFMA said.
HFMA interviewed 25 hospitals and health systems already involved in payment reform experiments in early 2009 and found roughly 2% of revenue was tied to quality, efficiency or other measures and 0.5% was linked to patients health status. However, two out of three reported that insurers provide data on providers quality and efficiency measures, according to results reported in the white paper.