Value-Based Care: A Win-Win Integrated Approach
“Value-based care models are on the rise, and health care providers and payers are increasingly aligning to control costs while providing quality care,” says Jordan Pisarcik, vice president of growth and customer engagement at DocASAP.
Here’s an excerpt from Pisarcik’s new article:
According to a recent report by Humana, value-based care initiatives are proving to be more cost-effective than traditional fee-for-service models. By emphasizing quality of care and access to care, value-based care models can improve overall health outcomes and provide better patient experiences in the long term.
Value-based care requires providers and payers to form an integrated approach to patient care management. These models connect reimbursement to care quality, cost-effectiveness, and patient outcomes.
Success with value-based care models requires strong partnerships between payers and providers. Historically, payers and providers have been at odds with each other and had misaligned financial goals. From a provider’s perspective, financial benefit has been tied to larger volumes of patients and more services ordered. On the payer side, profit has depended on higher premiums and lower reimbursements.
As a result, patients have received suboptimal care, with higher out-of-pocket payments, unnecessary care, and poorer outcomes. With the rise of value-based care and aligned incentives, collaboration between payers and providers is becoming the norm. When patients can access quality care in a timely and efficient manner, it benefits health plans and providers alike and leads to better outcomes for patients.
Read the rest of the article now:
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