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Value Based Payment Shift for Independent Urology Practices: Roadmap and Barriers

Value-based payment (VBP) reform remains an increasingly relevant path for health care transformation. VBP aligns financial incentives with higher quality care at a lower cost for patient populations. This bipartisan commitment to VBP remains a top priority for the Centers for Medicare and Medicaid Services (CMS) with a goal to include all Medicare beneficiaries in a VBP model with accountability for total cost of care and quality by 2030. 1 Further, the COVID-19 public health emergency highlighted the dependency of the fee-for-service (FFS) payment system on patient volume. Practices reliant on FFS faced severe financial challenges when in-person visits were not feasible.

Authors: Vishnukamal Golla, Charles D. Scales Jr, David Johnson, Alan L. Kaplan, CJ Stimson, Mark McClellan, Robert Saunders

Source: Golla V, Scales C, Value Johnson D, et al. Based Payment Shift for Independent Urology Practices: Roadmap and Barriers  Urology 2022; 171:1-5 DOI:https://doi.org/10.1016/j.urology.2022.10.008