A Guide to Understanding Reimbursement and Value-Based Care in the Military Health System

Military Medicine
Joseph W GalvinBruce L Gillingham

Abstract

With the continued rise in the cost of U.S. health care, there is an increased emphasis on value-based care methodologies. Value is defined as health outcomes achieved per dollar spent. Few studies have evaluated the role of value-based care in the Military Health System (MHS), especially in a format which physicians and providers can understand. The purpose of this article is to provide a guide to understanding current reimbursement systems and value-based care in the MHS and discuss potential strategies for improving value and military readiness. We outlined the current value-based care methodologies in the MHS, and by using musculoskeletal care as an example, offer strategies for further improvement. The MHS has been a leader in the health care industry in adopting value-based care strategies. Current value-based systems in the MHS are primarily designed to incentivize process measure compliance. Initial steps toward measurement and reporting health outcomes have been made, however, with the military's use of the Integrated Resourcing and Incentive System (IRIS), National Surgical Quality Improvement Program (NSQIP) database, and the Joint Outpatient Experience Survey (JOES). As this article will describe, universal reportin...Continue Reading

References

Nov 11, 2005·The Milbank Quarterly·Avedis Donabedian
Jun 6, 2009·The New England Journal of Medicine·Michael E Porter
Feb 13, 2010·American Journal of Preventive Medicine·Bruce H JonesSean Moore
Feb 13, 2010·American Journal of Preventive Medicine·Keith G HauretSara Canada
Dec 8, 2010·Research in Developmental Disabilities·For-Wey Lung, Bih-Ching Shu
Aug 31, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Jeanne C PatzkowskiJoseph C Wenke
May 11, 2013·Journal of Shoulder and Elbow Surgery·Eric M BlackJon J P Warner
Oct 4, 2013·International Anesthesiology Clinics·Meghan B Lane-Fall, Mark D Neuman
Dec 21, 2016·Clinical Orthopaedics and Related Research·Tiffany C LiuElizabeth O Teisberg

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Citations

Apr 11, 2020·Journal of the Academy of Nutrition and Dietetics·Jessica L KegelPatricia A Deuster
Aug 24, 2021·Military Medicine·Richard MalishMichael S Whiddon

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