Which of the following is NOT a current trend moving away from fee-for-service payment systems?

The Resource Based Relative Value System (RBRVS) is a payment system that is primarily associated with fee-for-service models. It is designed to provide a framework for reimbursement based on the relative value of various medical services, considering factors such as the resource costs involved in delivering those services. RBRVS incentivizes providers to perform more procedures, as they are paid for each service rendered, which aligns closely with the traditional fee-for-service approach.

In contrast, the other options represent current trends that shift toward value-based care models where payments are dependent on the quality and efficiency of the services provided, rather than the volume of services. For instance, MIPS focuses on rewarding healthcare providers for delivering high-quality care and improving patient outcomes. Comprehensive Care for Joint Replacement (CJR) is designed to promote accountability among providers for the care of patients undergoing joint replacement surgery, blending elements of quality and cost efficiency. Accountable Care Organizations (ACO) also emphasize coordinated care and are financially incentivized to improve patient health outcomes while reducing unnecessary spending.

This distinction highlights why RBRVS stands out as not aligning with the movement away from fee-for-service systems, as it upholds the traditional payment model rather than advancing toward integrated and value-driven payment structures.