Fee-for-service models create a major dilemma in healthcare. As Mohamed Diab explains, "...patients want more access to coordinated, convenient, personalized, and affordable care, but physicians have limited time and resources," and "For physicians, the promise of value-based care is the ability to spend more time focusing on the whole patient." VBC benefits all parties. Identifying pain points has been the main block to implementation, but the benefits have been undeniable. #ValueBasedCare #VBC #FFS #Healthcare
Thomas Renshaw’s Post
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Value-based care models like bundled payments and shared savings can make primary care more cost-effective by financially rewarding providers for keeping patients healthy and reducing unnecessary services. By making VBC the standard, we can start to see better patient outcomes due to incentivization and reduced healthcare system costs. #ValueBasedCare #VBC #Healthcare
Author Post: Value-Based Care: Making Primary Care More Cost-Effective
forbes.com
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What are the benefits and challenges of providing Primary Care to employees and their families? What evidence are we seeing in improving the quality of care and reducing healthcare costs ? This article goes into greater detail in answering these questions and others. After reading this article, ask yourself, should we be exploring Primary Care?
Does Higher Spending On Primary Care Lead To Lower Total Health Care Spending? | Health Affairs Forefront
healthaffairs.org
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Excerpt from the CMS article below: What does value-based care look like for the patient? “In value-based care, health care providers recognize that each person is unique and can experience improved health outcomes through person-centered, coordinated care.” It is becoming increasingly apparent that smaller sized focused clinics are going to be the best and probably only option for providing value based care. Large systems will likely not be able to effectively provide for each patient an ongoing individual care plan. With our robust Chronic Care Management and Remote Patient Management programs as the cornerstone of our commitment to value based care, each enrolled patient knows that they have a tailored individual care plan that will hopefully prolong life, help them maintain a good quality of life and hopefully reduce their chances of hospitalizations. https://lnkd.in/gFVhxE8h
Value-Based Care
cms.gov
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While healthcare providers generally aim to prioritize patient care, economic incentives inevitably shape their actions. Fee-for-service (FFS) structures, although prevalent, often diverge from the best interests of patients and the healthcare system as a whole. Efforts to transition towards value-based care (VBC) models, also termed Alternative Payment Models, encounter complexities. Despite these challenges, three specific VBC models have emerged as promising alternatives, garnering increasing attention and adoption: https://zurl.co/k7FD #Healthcare #Health #Wellness #Aging #PatientCare #VBCModel #AlternativePay #Integriti3d
Author Post: Value-Based Care: Making Primary Care More Cost-Effective
forbes.com
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SonarMD is a comprehensive care coordination program for #guthealth. We contract with payers and work directly with sub-specialists in their network to create #valuebased arrangements and connect with patients virtually as an extension of their GI care team. What is #valuebasedcare? Check out this article: https://lnkd.in/gRurf9Fy Value-based care is revolutionizing health care by focusing on these five key goals: - Best patient experience - Health equity - Improved outcomes - Reasonable costs - Workforce well-being By aligning payment with patient outcomes, this model promotes evidence-based, preventive, and equitable care and we are proud to be part of this revolution. #Healthcare #ValueBasedCare #PatientExperience
What is value-based care?
ama-assn.org
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In his article for Forbes, Web Golinkin discusses the need to transition from a fee-for-service (FFS) model to value-based care (VBC) in healthcare. Golinkin emphasizes the importance of increasing access to primary care and strategies for enhancing its cost-effectiveness. He notes that while most providers aim to prioritize patient well-being, economic incentives often influence their behavior, making the FFS model less aligned with patient interests and overall healthcare system efficiency. Golinkin highlights three key VBC models with potential: bundled payments, shared savings, and global payments. These models aim to reduce costs and improve care quality by incentivizing providers to deliver efficient care. Bundled payments involve pre-negotiated fees for entire episodes of care, such as surgeries, encouraging providers to reduce costs and improve outcomes. Shared savings models, often used in Medicare plans, allow providers to share in cost savings relative to benchmarks, incentivizing cost reduction efforts. Global payments provide a fixed fee per patient for all required care over a specified period, encouraging providers to deliver cost-effective care. Golinkin emphasizes that while these models have potential, they must include quality measures to ensure necessary care isn't withheld. He concludes that transitioning to VBC from the FFS model is essential for sustainable and effective healthcare. #PrimaryCare #ValueBasedCare #HealthcareModels https://lnkd.in/gcddW9pM
Author Post: Value-Based Care: Making Primary Care More Cost-Effective
forbes.com
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Really interesting (but not surprising) article from The Commonwealth Fund. "The theory that we'll just change how we pay and miraculously have all this free time in the day is silliness." We hear this often from our partners and providers in value-based care. Clinicians are spending so much time doing chart prep and documentation, when they really want to spend meaningful time with patients. Would you agree? What challenges are you facing in VBC? #healthcare #healthtech #valuebasedcare #makingcareprimary https://lnkd.in/eH5t9kRC
Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models: Reasons and Potential Solutions
commonwealthfund.org
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Insightful read! The article discusses why adopting new payment models is challenging and why some PCPs struggle in VBC. #healthcareinnovation #valuebasedcare #healthtech
Really interesting (but not surprising) article from The Commonwealth Fund. "The theory that we'll just change how we pay and miraculously have all this free time in the day is silliness." We hear this often from our partners and providers in value-based care. Clinicians are spending so much time doing chart prep and documentation, when they really want to spend meaningful time with patients. Would you agree? What challenges are you facing in VBC? #healthcare #healthtech #valuebasedcare #makingcareprimary https://lnkd.in/eH5t9kRC
Why Primary Care Practitioners Aren’t Joining Value-Based Payment Models: Reasons and Potential Solutions
commonwealthfund.org
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What happens when two major players join forces to enhance patient engagement in #valuebasedcare? The Health Care Transformation Task Force and the National Association of ACOs have teamed up to create a resource presenting recommendations aimed at strengthening #patientengagement in #ACOs, care delivery redesign, and individual care planning. #Healthcare #PatientCare
HCTTF and NAACOS Suggest Ways to Improve Patient Engagement in Value-Based Care
einnews.com
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We need to focus on creating meaningful disruption that results in substantial changes to healthcare delivery. This article is spot on but this goes beyond “primary care”, it should be preventative care which involves both PCPs and specialty care. The system remains an assembly line for “sick” episodic care and incentive ($) is aligned with volume of visits for 80% of the care within the healthcare system. There are countless articles about ER and hospital overcrowding and ways to increase capacity – how about we shift to think upstream? What % of the population in the ER could have been prevented with the right access to care prior to the visit– my guess is at least 20%? We need to focus on the right measurement of outcomes and align it with payment. This article says “…..the failure of our current process measures is twofold. Not only do they miss the mark in capturing meaningful outcomes, but they also incentivize health systems to divert resources towards efforts to check boxes and boost performance in hollow metrics, away from activities that serve patient needs.” What if systems were accountable for access - a patient shows up in the ER because they couldn’t get a neurology appointment for 3 months and they are having symptoms, would the system work on access if they didn’t get paid for that visit? Seems extreme – but the point being we need to change behavior and where our focus lies. The real change come in how care is delivered and reimbursed.
Industry Voices—Why is it so hard to measure the impact of primary care?
fiercehealthcare.com
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