BC Advantage - 2019 Issue 3
Volume Meets Value The Ship Sets Sail
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Article Overview
This article explores the growing tension between volume-driven and value-driven health care models. It discusses broad themes in value-based care policy, regulatory reform, population health, precision medicine, and how electronic health records and interoperability support care delivery in more complex payment environments. It is aimed at physicians, practice leaders, health IT stakeholders, and others following health care payment reform.
Why This Topic Matters
Understanding the movement from volume to value is important for organizations adapting to new reimbursement models, compliance considerations, and data-driven care coordination. The article highlights why health IT infrastructure and interoperability are increasingly central to operating in value-based programs.
Article Sections
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Definitions
Introduces the article’s core terminology and frames the contrast between traditional fee-for-service economics and newer value-based care concepts.
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Competing business models
Compares how organizations may approach revenue optimization under volume-based and value-based payment structures. The discussion stays at a high level and focuses on strategic differences in program design.
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Stark and anti-kickback statutes
Summarizes remarks about federal regulatory reform efforts and the broader policy environment surrounding value-based care arrangements.
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Precision medicine vs population health
Examines the conceptual tension between population-level management and individualized care approaches in value-based settings.
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Where EHRs bring value
Highlights how electronic health records, interoperability, and data access support coordination of care and population-based management in evolving payment models.
What You Will Learn
- How the article frames the shift from volume-based to value-based care
- Why health care payment reform affects practice and hospital strategy
- How regulatory topics can intersect with value-based models
- How population health and precision medicine are contrasted in the article
- Why EHR access and interoperability are presented as important supporting tools
Who Should Read This
- Physicians
- Practice managers
- Hospital executives
- Health information technology professionals
- Nephrology professionals
- Health care policy readers
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