Below is an excerpt from a recent paper written by Manatt Health and the American Medical Association. Click here to read the full paper and case studies
The shift towards value-based care (VBC) has led to a reimagining of the traditional definition of health care delivery—including what types of services are delivered, how those services are delivered, and by whom they are delivered—all with the objective of supporting better outcomes at lower costs. The American Medical Association (AMA) set out to understand the Current Procedural Terminology (CPT®) code set’s role in VBC. From a series of interviews with VBC provider organizations, health plans, integrated delivery systems, health technology organizations, VBC enablement organizations and others, the AMA gathered market perspectives on how CPT plays into VBC arrangements today, including where it is supportive and where there may be opportunities for continued evolution. The key findings are that CPT serves as the common language for VBC today and is a critical enabler of the three pillars of VBC success going forward:
Stakeholders also shared ideas for evolving the code set to accelerate adoption of VBC delivery, including:
- Evolving CPT codes to reflect new types of practitioners delivering health care services
- Supporting new care delivery models with bundled service codes
- Considering how CPT might address new types of health care services being delivered
The AMA and the CPT Editorial Panel are committed to progressing the code set to ensure it continues to evolve in ways that support the delivery of high-value care to patients, and meets the needs of physicians, health professionals, health systems, policymakers and payers.
Click here to read the full study and findings.