I call my dream “Value-Based Purchasing,” or "VBP, " “Evidence-Based Purchasing ,” or “EVP,” or “moving from volume to value.” Everything in medicine, I dream, will be “evidence-based.” Reason, not personal relationships, will be in season. That’s my dream.
Fee-for-service remains the lay of the land. Volume of specific current clinical actions is what payers pay for, not the bang for the buck or ultimate outcomes down the road. An alternative payment model has yet to be developed. It’s hard to code a dream. It's easy to code a visit, a procedure, or a visit.
Source: Jordan M. VanLare and Patrick H. Conway, "Value-Based Purchasing - National Programs to Move from Volume to Value," New England Journal of Medicine, July 26, 2012