339x Filetype PPTX File size 1.07 MB Source: grhainfo.org
Agenda
www.shpllc.com 2
First and Foremost
www.shpllc.com 3
1 Health Affairs
Value Equation
www.shpllc.com 4
VBC Defined
Cleveland Clinic
Value-based care is simply the idea of improving quality and outcomes for patients. Reaching this goal is based on a set of changes in
the ways a patient receives care. We’re looking to make healthcare proactive instead of reactive, preventing problems before they
start.
Revenue Cycle Intelligence
Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards
providers for both efficiency and effectiveness.
CMS
Value-based programs reward health care providers with incentive payments for the quality of care they give to people with Medicare.
These programs are part of our larger quality strategy to reform how health care is delivered and paid for. Value-based programs also
support our three-part aim: Better care for individuals, Better health for populations, Lower cost.
UVA Sponsored – State Healthcare Cost Containment Committee Report (2014)
The goal is straightforward but ambitious: Replace the nation’s reliance on fragmented, fee-for-service care with comprehensive,
coordinated care using payment models that hold organizations accountable for cost control and quality gains.
www.shpllc.com 5
Defining Value
Based Care
Value Based Care has no single definition
At its most basic, VBC is ‘intended’ to be improved outcomes for less money.
Who’s Doing the Defining – Patients / PCP’s / Specialists / Payors / Health Systems ?
Variables:
Type of population: Medicare/Medicaid/Commercial
Type of Insurance: HMO, PPO, Narrow Network
Type of Provider: PCP, Specialist, Hospital
Market environment / pulse
www.shpllc.com 6
no reviews yet
Please Login to review.