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The march toward value-based payment models may be on, but that doesn't mean everyone's moving in lockstep—or even moving at all.

A new report from EY (formerly Ernst and Young), an accounting and management consulting firm, points out some significant differences in the ways larger health care providers are preparing—or not preparing—for value-driven care. According to the results of a survey of 700 health care executives, 67% of organizations with annual revenue between $100 million and $499 million have not implemented any value-based initiatives in their organizations. Nearly the reverse is true among the highest-earning organizations, where about 62% of the companies earning $5 billion or more a year have implemented value-based payment models, and 47% have started up bundled care models.

"With market forces pushing for a new care delivery model, many organizations will undoubtedly be dragged into the realm of value," write authors of the report. "Relying on a series of disjointed initiatives to get there is not an effective strategy."

APTA is working to ensure that physical therapists (PTs) have a solid understanding of what payment reform means by way of resources offered on its Payment Reform webpage. The latest addition to those resources is a short online quiz that can help members assess their readiness for payment reform.

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