Value-based care (VBC) is a provider payment model based on incentivizing high-quality healthcare, rather than quantity of services. Overall, the goal is to improve the lives of patients while reducing cost of care. From a healthcare provider perspective, here are 5 key strategies to implement and improve value-based care:
1. Identify patients with the highest risk
The first is having an EMR that can help you identify where you have gaps in care. A healthcare data platform can help transform your data into actionable insights. It’ll allow you to aggregate patient data to make informed decisions and identify high-risk populations.
2. Address patients who need care
Once you identify patients with high risk, set up an outreach strategy to contact these individuals. Encourage appointments via phone calls, text messages, emails, and more. While fee-for-service models may focus on quantity, value-based care encourages detailed care customized for each patient.
3. Encourage annual wellness visits
If possible, employ mid-level providers to perform annual wellness visits for your patients who are in value-based care services. For some, this can also include annual comprehensive diabetic screenings. During these visits, health assessments can be made that may identify risk factors and how patients can make positive lifestyle changes.
4. Keep open communication with provider-relation reps
Know you’re the value-based care incentive targets that your payers require. Build a good relationship with your provider relations representatives. Be aware of the quality measures that you are being scored on and know how bonuses are calculated to achieve the best outcomes.
5. Be open-minded to succeed at value-based care
Your organization can have a quality data coordinator or case manager come into your network’s practices and work with you to create a plan for closing gaps. Sharing data across providers and with your VBC service vendor is essential to succeeding at value-based care.
Providers can help implement and improve on their value-based care payment models by taking these 5 key strategies into consideration. Value-based programs aim to reform how healthcare is delivered and paid for, with the end goal being better care, improved costs and an overall healthier population.
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