Accelerating Adoption of Value-Based Care with the CPT® Code Set

The shift toward value-based care (VBC) has led to a reimagining of the traditional definition of healthcare delivery—including what types of services are delivered, how those services are delivered and by whom they are delivered—all with the objective of supporting better outcomes at lower costs. The American Medical Association (AMA), in collaboration with Manatt Health, set out to understand the role of Current Procedural Terminology (CPT®), the standard medical code set terminology for reporting medical services and procedures, in VBC. The key findings are that CPT® serves as the common language for VBC today and is a critical enabler of the three pillars of VBC success going forward: population health and quality management, cost management, and alternative payment model contracting.