Dr. Alex Vaccaro on volume vs. value in spine care
By Admin | June 24, 2021
The U.S. healthcare system continues its push away from a fee-for-service system toward value-based care, but providers and payers can't seem to agree on a universal definition for value-based care.
During Becker's 18th Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, Alexander Vaccaro, MD, PhD, spine surgeon and president of Rothman Orthopaedic Institute in Philadelphia, outlined what volume and value-based care might look like for spine providers in the future.
Below is an excerpt from the conversation, slightly edited for clarity. To view the full session on-demand, click here.
Note: Responses are lightly edited for style and clarity.
Question: There's been a huge transformation in talking about value from large payers in large systems. How do you view this volume versus value issue?
Dr. Vaccaro: So, let's go back to when we had HMOs and then moved to capitation. Costs are out of control. Let's pay a provider a dollar for an episode of care. So, if you go beyond care paradigms or care pathways, you're at risk, and therefore you're not going to do it. We did that and it worked for a while. But the big term nowadays is value. If you ask 10 people what value is, they'll give you 10 different...(More)
For more info please read, Dr. Alex Vaccaro on volume vs. value in spine care, by Becker's SpineReview