While the above discussion of IT challenges posed by widespread adoption of VBR is broad, it should not be viewed as a reason to abandon VBR program development. Like any other IT challenge, organizations must establish specific requirements, sequence the work to deliver the highest value, and trust that innovators in the industry will develop solutions to meet new market needs. In particular, CMS needs to consider how to continue paying for claims processing at a fraction of the cost paid by commercial plans, yet allow their contractors to modernize and increase the system capabilities as needed.
IT managers should realize that the flaws of fee-for-service have finally accumulated to cause a broad sweeping change in the industry. Addressing the new requirements creates opportunities to address other challenges inherent in the legacy systems used. VBR will result in winners and losers; like the shift to DRGs and capitation, some organizations will fail and others will thrive and grow. IT enablement of VBR will be an important factor in that success or failure.