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Health System Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness. This form of reimbursement has emerged as an alternative and potential replacement for fee-for-service reimbursement, which pays providers retrospectively for services delivered based on bill charges or annual fee schedules. In more basic terms, value-based care models center on patient outcomes and how well healthcare providers can improve quality of care based on specific measures, such as reducing hospital read missions, using certified health System IT, and improving preventative care. Nurses have a rich history of innovative care models that speak to their potential centrality in delivery system reforms. However, deficits in terms of educational preparation, and in some cases resistance, to considering cost alongside quality, has hindered the profession’s contribution to the conversation about value-based payments and their implications for Health System change. Addressing this deficit will allow nurses to more fully engage in redesigning health care to better serve the physical, emotional, and economic well-being of this nation. It also has the potential to unleash nurses from the tethers of a fee-for-service system where they have been relegated to a labor cost and firmly locate nurses in a value-generating role. Nurse administrators and educators bear the responsibility for preparing nurses for this next chapter of nursing.

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References Health System :

Martin, A. B., Hartman, M., Lassman, D., Catlin, A., & National Health Expenditure Accounts, T. (2021). National Health Care Spending In 2019: Steady Growth For The Fourth Consecutive Year. Health Aff (Millwood), 40(1), 14-24. doi:10.1377/hlthaff.2020.02022

Claxton, G., Damico, A., Rae, M., Young, G., McDermott, D., & Whitmore, H. (2020). Health Benefits In 2020: Premiums In Employer-Sponsored Plans Grow 4 Percent; Employers Consider Responses To Pandemic. Health Aff (Millwood), 39(11), 2018-2028. doi:10.1377/hlthaff.2020.01569 Health System

Gooch K. Record number of healthcare workers laid off, furloughed during pandemic. Becker’s Hospital Review.…. Published June 5, 2020. Accessed

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