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Interoperability a barrier to adoption of value-based payment models, says HFMA

While 98 percent of those surveyed said interoperability was "highly" or "extremely" important, only 33 percent said their facility was capable of it

Jeff Lagasse, Associate Editor

Achieving interoperability has been one of the trickiest and most persistent barriers to the adoption of value-based care models, according to new findings from the Healthcare Financial Management Association.

Interoperability is the ability to communicate and share data through the electronic health records of disparate hospitals and physician practices, and if HFMA's survey is any indication, reaching that goal doesn't inspire much confidence in hospital leaders.

[Also: Building value-based framework for EHR interoperability depends on provider ease-of-use]

In fact, while a whopping 98 percent of those surveyed said interoperability was "highly" or "extremely" important, only 33 percent said their facility was capable of it.

That's problematic when it comes to the shift toward value-based care. Interoperability is positioned to play a big role in the transition, since data is one of the keys to tracking success in payment models.

Hospitals said the percentage of payments they receive from commercial payers using value-based arrangements grew to 24 percent in 2017, double what it was in 2015. That's still lower than initial projections, however, of 50 percent by this year.

There was some good news for hospitals: Many said it has become easier for them to succeed financially under value-based payment arrangements, with about 70 percent saying they've done well under those arrangements. Meanwhile, 47 percent said physicians will receive a modest payment adjustment under MIPS.

Twitter: @JELagasse
Email the writer: jeff.lagasse@himssmedia.com

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