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.
Establishing 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 promotes understanding of 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.
