Value Based Care
Value-Based Care Technical Assistance
We provide operational and technical assistance to strengthen and grow rural health’s transition to value-based care through work with providers, hospitals and existing programs that are implementing value-based and population health initiatives. This engagement will help optimize and enhance the value-based care contractual incentives across various payers.
Tailored to the needs of the health care provider or hospital, we provide support and proficiency in enabling the transformation of care delivery. Our services encompass performance improvement, financial assessment, digital transformation, and strategic alignment of incentives and business models within the realm of value-based care.
What is value-based care?
The overarching objective of value-based care is to enhance health outcomes, reduce costs, and elevate patient satisfaction across the population. Value-based care represents a transformative health care delivery approach where payments are aligned with enhanced outcomes and exceptional quality of care. Alternative payment models that support value-based care vary from performance-based incentives to arrangements involving shared savings and financial risks.
Achieving value-based care objectives involves a range of strategic initiatives, including prioritizing preventive care, conducting annual wellness visits, managing chronic conditions, coordinating transitional care, and providing longitudinal care coordination. Furthermore, value-based care models extend their impact of patient-centered care by actively addressing social determinants of health, promoting health equity, and adopting multidisciplinary care team interventions. In essence, value-based care represents a holistic and patient-centric approach to health care delivery aligning the health care payment structure to the delivery model.
Consultive support
The consultative engagement is tailored to the organization’s needs. One challenge providers often have is that value-based care incentives and metrics differ across payers. Via consultative support, we can assist by conducting a contract inventory creating a payer matrix detailing the existing contractual terms and characteristics. This matrix will help quantify the financial opportunity of the incentives, provide a crosswalk of performance metrics across various payers and ultimately delivering a tool that will assist in prioritizing initiatives and efficiencies enhancing financial income. This technical assistance also helps examine current value-based care performance and provides actionable recommendations and best practices to enhance performance.
We are here to provide support in value-based care strategic planning, evaluating new opportunities to pursue growth in value-based care and identifying alternative payment models that reward small-town health care providers for their high quality care.
Initiatives and implementation
In addition, we are creating programs supporting providers in quality performance and care gap closure, enhancing capture of accurate diagnosis codes to improve risk score capture, and virtual care management teams that can assist with chronic care management, remote patient monitoring, and transitional care management. We recognize these activities are important for success in value-based care and alternative payment models, and they provide opportunities for additional financial incentives.