Becker's Hospital Review

34 Clinical Integration & ACOs T he majority of physicians are most con- cerned with getting penalized for factors they cannot control. Most physicians prefer traditional payment mod- els, according to a recent survey from Deloitte Center for Health Solutions. Unsurprisingly, pri- mary care physicians are more likely than special- ists to support value-based care. So what are physicians concerned about in terms of value-based care? Approximately 560 physicians in a variety of spe- cialties answered, expressing the following con- cerns regarding value-based care models. • 78 percent of physicians are most concerned with getting penalized for factors they can- not control. • 78 percent of physicians are concerned val- ue-based care models will overlook quality improvements that do not fall under spe- cific performance goals. • 70 percent worry it will limit their ability to make care decisions for the patient. • 62 percent of physicians overall are con- cerned performance goals will be unreason- able in value-based care models. Surgical specialists are less concerned with this (56 percent), as compared to primary care phy- sicians (65 percent) and non-surgical spe- cialists (66 percent). • Primary care physicians are most concerned with care innovations, including the incor- poration of telehealth (70 percent), while surgical specialists and non-surgical special- ists report less concern (45 percent and 51 percent, respectively). • Across specialties, physicians were least concerned with achieving performance im- provement at work (45 percent). n What Concerns Physicians About Value-Based Care? By Emily Rappleye In 10 Years, Nurse Practitioners Nearly Double By Emily Rappleye O ver the last decade, the ranks of licensed nurse practi- tioners have nearly doubled in the U.S., increasing from 106,000 in 2004 to 205,000 by the end of last year, ac- cording to data from the American Association of Nurse Practi- tioners. "The explosive growth of the nurse practitioner profession is a public health boon considering our nation's skyrocketing demand for high- quality, accessible care," AANP president Ken Miller, PhD, RN, said in the report. Now the challenge will be to push for federal and state laws allowing nurse practitioners to provide more full, direct primary care, he said in the report. 2015 marks the 50th year nurse practitioner has been a licensed pro- fession. n 40-Practice Physicians Association to Drop Out of MSSP By Emily Rappleye B urlington, Vt.-based Healthfirst, a network of 40 indepen- dent physician practices, announced it will drop out of the Medicare Shared Savings Program after more than two years because the program was unsustainable, according to VTDigger. The accountable care organization met MSSP quality standards but did not reduce costs enough to qualify for shared savings. Vermont al- ready has low per-capita Medicare spending and the program doesn't take regional differences into account when determining the threshold for savings, according to Amy Cooper, Healthfirst's executive director. The association will consider returning to the program in 2016 after CMS adjusts the program if the adjustments take regional differences into account, Ms. Cooper told VTDigger. Healthfirst will continue to participate in a state-based shared sav- ings program for Blue Cross Blue Shield of Vermont beneficiaries. n SAVE THE DATE! Becker's Hospital Review 6th Annual Meeting May 7-9, 2015 • Swissôtel - Chicago, Illinois 153 Great Health System Executives Speaking 119 Sessions • 212 Speakers To learn more visit www.BeckersHospitalReview.com To register, visit www.regonline.com/hospitalreview6thannualmeeting

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