Almost half (45 percent) of providers participate in some type of alternative payment model, according to the findings of the HIMSS Cost Accounting Survey.

However, only 3 percent beleive their organization is highly prepared to make the transition from fee-for-service to a value-based payment system. Participants named the following top three needs for the transition:

1. Tools to track and evaluate quality of care
2. Better communication between disparate providers
3. Consistent definition of quality by specific type of disease

Those serving in an exclusively urban market (48 percent) are more likely to participate in an alternative payment model than those exclusively serving a rural market (31 percent).

While healthcare providers have the ability to determine costs of delivering care, only 39 percent regularly review costs to ensure they are current. Seventy-two percent said they have a formal process in place for determining costs.