A new study sponsored by Quest Diagnostics has concluded that progress toward value-based care has slowed because physicians lack the IT tools they need. In fact, the survey of health plan executives and physicians found that both groups see the progress of VBC as backsliding, with 67% reporting that the U.S. still has a fee-for-service system in place.
The study, which was conducted by Regina Corso Consulting, took place between April 26 and May 7 of 2018, included 451 respondents, 300 which for primary care physicians in private practice. The other 151 were health plan executives holding director-level positions.
More than half (57%) of health plan respondents said that a lack of tools is preventing doctors from moving ahead with VBC, compared with 45% last year. Also, 72% of physicians and health plan leaders said that doctors don’t have all the information they need about their patients to proceed with VBC.
A minority of doctors (39%) reported that EHRs provide all the data they need to care for the patients, though 86% said they could provide better care for patients if their EHR was interoperable with other technologies. Eighty-eight percent of physicians and health plan execs said that such data can provide insights that prescribing and claims data typically can’t.
All of the survey respondents agreed that making do with existing health IT tools is better than spending more. Fifty-three percent said that optimizing existing health information technology made sense, compared with 25% recommending investing in some new information technology and just 11% suggesting that large information technology infrastructure investments were a good idea.
Survey respondents said that a lack of interoperability between health IT systems with the biggest barrier to investing in new technology, followed by the perception that it would create more work while producing little or no benefit.
On the other hand, respondents named several technologies which could help speed VBC adoption. They include bioinformatics (73%), AI (68%), SMART app platform (65%), FHIR (64%), machine learning (64%), augmented reality (51%) and blockchain (47%). In its commentary, the report noted that SMART app platform use and FHIR might offer near-term benefits, as they allow companies to plug new technologies into existing platforms.
Bottom line, new ideas and technologies can make a difference. Eighty-nine percent off health plan execs and physicians said that healthcare organizations need to be more innovative and integrate more options and tools that support patient care.