Anthem- Value-Reimbursement Framework

For decades, fee-for-service reimbursement has been widely used to pay health care providers for their services. But the model has its weaknesses. Among the most troublesome, it prioritizes quantity of services over quality, incentivizing providers to maximize reimbursement rather than to do what’s best for patients.

Meanwhile, value-based care focuses on quality. The model reimburses providers for the long-term impact of their services, making the option especially attractive for behavioral health providers.