The 3 things holding back alternative payment models

Payers say the largest barrier to implementing alternative payment models is providers' reluctance to take on risk, according to a survey from the Healthcare Payment Learning and Action Network. 

The study, published Nov. 9, surveyed 63 health plans, five state Medicaid programs and traditional Medicare on their payment models. The survey respondents make up around 77 percent of the national insurance market. 

Payers surveyed also said a barrier to implementing alternatives to traditional fee-for-service payments is providers' abilities to operationalize these systems. 

The third-most cited barrier was provider interest and readiness in adopting alternative models. This was also listed among the top things facilitating alternative payments. 

Payer interest and government influence are also driving the implementation of these models, payers surveyed said. 

Across the board, the survey found 40.5 percent of plans use traditional fee-for-service payments. Medicare Advantage plans were the most likely to use alternative payment models. 

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