Ferguson, who is medical director of the National Rural Accountable Care Organization, said ACOs are showing great promise as a mechanism to move toward improved provider assessment and transparency. "We're going to be able to analyze data not only for providers but also for each physician," he said.
NRACO, which is promoting "a sustainable model for rural healthcare," is planning to use data collected at its ACOs to highlight the best practices at top-performing providers and to help providers that are underperforming. "I think the ACOs are the best model," Ferguson said of the move to a value-based healthcare system. "They're more of a fee-for-value system."
If the SGR repeal deal becomes law and a Medicare-led drive to create a value-based system is successful, the change would be revolutionary, Roman believes. "In a system where you're rewarded for quality and outcomes, the savings would be substantial," he said, contrasting a value-based reimbursement system with the fee-for-service model. "You eliminate the volume incentive."