As the health care industry increasingly shifts to value-based care (VBC) and alternative payment models, its biggest challenge is inertia. Fee-for-service (FFS) and pay-for-performance (P4P) have been firmly entrenched for years, along with the associated business processes and costly legacy systems that support them.
To fully realize VBC’s value, these existing processes and legacy infrastructures must be transformed. Health care organizations can be strongly resistant to change, however. A primary obstacle relates to sunk investments in business processes and internal systems. In both cases, existing infrastructure creates a commitment to the status quo that makes change difficult or even impossible.