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All About Value-Based Care: What You Need to Know

To ensure that employees are healthy, happy, and well-taken care of, it is vital that employers implement a reliable program that cares for the health and safety of their workers at an affordable cost. One effective way to do that is through value-based programs.

What Is Value-Based Care?

Value-Based Care (VBC) is a healthcare payment model that is delivered under value-based contracts. This utilizes a rewards system to pay different healthcare providers, such as hospitals, clinics, labs, doctors, nurses, and more based on their performance. These include the quality of care they offer and the health outcomes of their patients. In other words, providers are paid and can earn their incentives by providing high-quality healthcare for their patients.

What Is the Difference of VBC from the Traditional Fee-for-Service Model?

What makes VBC different from the traditional fee-for-service model is that providers are paid differently. As for the traditional model, healthcare providers are paid separately for every medical service they give to their patients.

What Makes VBC a Better Choice Compared to the Fee-for-Service Model?

When patients think about healthcare, after-care usually comes into their minds. This means the healthcare system that many people are used to is the one that addresses the healthcare needs of people only after they already have ailments or illnesses. 

VBC addresses this concern by focusing more than just caring for the sick and treating ailments. This uses a data-driven and proactive approach that improves the health of patients and boosts their healthcare experience at the fraction of the cost of the fee-for-service model.

What Is the Best Solution to Ensure the Success of VBC?

VBC models are one-of-a-kind because patients can navigate the healthcare system with help from a supportive care team. This care team is composed of multidisciplinary members that may include health coaches, mental health specialists, pharmacists, dieticians, and psychologists as well as administrators, educators, case managers, social workers, and more. 

The team members do not necessarily give medical care directly to their patients. They collaborate and establish a harmonious working relationship with the patient and caregivers to assess the various healthcare needs that have to be addressed. They will be with them every step of the way throughout their healthcare journey. 

In addition, they promote the prevention of illnesses and overall wellness through effective strategies and coordination throughout the entire team. As a result, patients will be kept engaged and assisted to boost their physical, mental, emotional, and behavioral health.

What Is Considered the Best Type of VBC?

At present, there are “next-generation” models that are considered the most advanced types of VBC. When utilized effectively, they can lower the cost of healthcare and boost the chances of getting the desired results. One of these models includes the Accountable Care Organization (ACO) products. They consist of groups of various healthcare providers that collaborate and coordinate with one another to offer high-quality healthcare to their patients.

Conclusion

VBC shows the greatest potential to achieve an improved quality of healthcare at a lower cost. Utilizing this properly can promise effective and accessible healthcare for everyone.

On the other hand, at Medistics Health, we simplify your healthcare experience by offering remote patient monitoring devices. Get in touch with us to learn more about us and how we can help you!

Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.

For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.

CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).