What is value-based care?

Find out how new preventive care and data quality models are revolutionizing healthcare payment and delivery

New strategies for holistic patient care

Value-based care is the intersection of cost and quality. Value-based initiatives shift the care delivery focus from volume to value and redefine financial incentives toward reduced costs. In this model, physicians must think about the entire patient experience among all care settings and between episodic visits.

From a cost perspective, the total cost of care encompasses all spending for the patient—and the patient population as a whole—grouped, benchmarked and analyzed by condition. As the provider mindset shifts to address this model, taking the appropriate steps in terms of patient engagement, technology and workflow are the key first steps to value-based success.

Patient engagement

Value-Based Care Patient EngagementOrganizing care teams of clinical and non-clinical staff under a value-based delivery sets a solid foundation for a value-based setting. Teams track patients throughout their care cycle, and establish a tailored process for patient outreach and engagement. By considering the patient’s experience beyond the office, care teams can take a longitudinal approach to care delivery to meet value-based care delivery targets.

Technology

Value-Based Care TechnologyManaging the overall health and care delivery for a patient population requires an effective technology solution to effectively collect, aggregate, and analyze patient data. In addition to aiding in predictive modeling and implementing evidence-based care plans, collecting clean, quality data helps strengthens your reporting to ensure you receive appropriate payments and incentives—while avoiding costly penalties.

Workflow

Value-Based Care WorkflowEstablishing effective clinical workflows—both at the micro and macro levels—ensures clear lines of responsibility, establishes best practices for effectively collecting and reporting on required data, and understanding the comprehensive care requirements for patients and patient populations.

As your value-based capabilities mature, the next step in growth is to evaluate which clinically relevant private or public payer reimbursement models to pursue, be it a PCMH, ACO or horizon programs being finalized for the rollout of the Medicare Access and CHIPS Reauthorization Act of 2015 (MACRA).

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Resources

tom-thumbNavigating the journey to value-based success
Category: Blog

Health Industry Advisor, Tom Zajac frames up why value-based care is here to stay and details the tools we’re releasing to help you transition.

Read blog

infographic-thumbAnalyzing stakeholder models reveals keys to value-based change
Category: Infographic

Our infographic and blog post defines the various stages of the journey to value-based success. We define four stakeholder models that define various points along that path, identify key traits associated with these stages of maturity, and recommend next steps to make transformative progress for their organizations.

View infographic

Rivette-thumbData as prevention and revenue
Category: Video

See a health system physician’s testimonial on how her data-driven approach to care management and value transcends the capabilities of the EMR to better aggregate benchmarking, prevention and alerts, and improve multi-payer revenue.

Watch Video

n2n-whitepaperthumbTargeted data solutions lower risk and cost
Category: White paper

Healthcare information technology investments demand due diligence. Our comprehensive white paper shows how targeting – and then scaling – data-driven approaches to value-based care can customize success.

Download white paper

cost-of-inaction-thumbWhat’s the cost of inaction?
Category: Webinar

No matter where you are in your journey from volume to value, the Cost of Inaction webinar will help you make responsible decisions to continue to progress toward value-based success.

View Webinar