How Are Doctors Paid? Value-Based vs Fee-for-Service Care

Value-based care is a hot topic, but is it all it’s cracked up to be? When we explained how RVUs worked in a previous video, many of you requested we make a video on value-based vs. fee-for-service care.

So, what is value-based care, and what are the key differences between these healthcare payment systems? Stick around until the end when we discuss if it’s possible for the US to switch to a value-based system.

TIME STAMPS:
00:00 Introduction
00:37 What Is Fee-for-Service Care?
02:14 What Is Value-Based Care?
06:08 Value-Based vs. Fee-for-Service Care
07:52 Could the US Transition to a Value-Based Care System?

LINKS FROM VIDEO:

#medicalschool #medicalcareer #valuebasedcare
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

[MedSchoolInsiders]

Do you think the US could make the switch to a value-based care system?

[suemilkbone]

While I can see FFS incentivizes doctors to order and do unnecessary work, VBC incentivizes doctors to do less. VBC encourages doctors to "fudge" on their EMR documentation to meet quality metrics. As well, if they are under pressure to control costs, they may be reluctant to order more appropriate, albeit more expensive, tests and procedures in fear of not getting a bonus or getting a poor performance review by administration. Also, in VBC, the doctors are also incentivized to be judicious about referring patients to specialists when they normally would have under FFS and when they do, it is to a specialist in their own health care organization when a better and more appropriate specialist would not be considered nor recommended to the patient.

So, as a patient, I would not choose a VBC doctor or facility as in the back of my mind, I would always wonder if they are taking short cuts and stenting on appropriate care in order to save money and to meet their quality metrics.

[ianhowe]

Eyyyy we featured in this one fam haha
Great vid explaining the changes between VBC vs FFS

[grafkirk]

Woah! Pre med me is 🤩 seeing that I got into an MSI video. Thanks for taking the time to answer these questions!

[MarieSauvie]

You should do the differences between becoming a doctor in Canada, United States and the Caribbean for a video idea

Like how easy it is to become a doctor, what type of education they have and how competitive it is with the salary and how many hours a day and week they work too

[qafarafa]

thanks for posting for us and btw i changed my mind i want to be a pedatric dermatogist beacause i like kids and i think being a dermatologist would be nice give me money and not be stressful thank you so much keep posting and i hope you have a good day!

[Theabok]

Value-based system in essence matches and protects the hypocratic oath principle better than fee for service care system in conjunction with other states and federal laws

[yashvashisht]

Which animation software do you use ? The video quality is awesome .

[GreyLynn]

The hospital where we used to live definitely isn’t value based… the billed our insurance over 1000 for my daughter to get a anti nausea pill (actually 1/4th of one) and her temp checked…

[TalkToMeSenpai]

I am currently a Computer Science major and have one more semester left to graduate. Over the last two years, I have worked in various companies related to the field and have realized that it may not be the right fit for me. I am very interested in becoming an endocrinologist, which would require a degree in biochemistry. What is your advice on whether it would be better to complete my current Computer Science degree and then reapply to a university to pursue a biochemistry degree, or if I should consider changing my major now while I am still eligible for FAFSA. I am 21 years old and do not have significant responsibilities (e.g., a wife or children), which gives me some flexibility in making this decision.

[CyberHealthPodcast]

Hi, love your content. What app or software are you using to do your animated videos?

[isaacregi]

Value based seems like it would improve incentivize patients to pursue a healthier lifestyle because it would help them financially. Remember Jesus loves yall❤❤

[they.HATINGON.faith]

Hi! New subscriber here, can you make a SYWTB a physical therapist video if you haven't already?

[RicardoPiresCorreia]

Genuine question, why don't you guys transition to a free healthcare system like europe? Is it because it sounds like comunism? Everybody pays regardless of use. Or does it work just fine as it is right now and it does not need a change?