Value-Based Care Agreement

Value-Based Care Agreement

6. Assess current patient care, benefits and hospital interventions. She advised hospitals to ask: “Is this the best care today? In the best environment? Is care coordination well managed?¬†She said organizations should identify gaps and then fill those gaps with selected investments, ambulatory care networks and new and existing partnerships. ConvergeHEALTH Patient Connect collects patient data from multiple sources and connects all stakeholder data in one view for all patient interactions. It coordinates adherence and care, implements digital therapies, improves patient outcomes, and assists health care providers in managing patient care using our regulated applications and devices. Trinity Health in Livonia, Mich., a founding member of the task force, has about 20 percent of its revenue in value-based contracts. Another Task Force member, Renton, Wash.-Based Providence Health – Services, which participates in value-based agreements in five states and has a 500,000-member health plan in Oregon, has approximately 27% of the net revenue of its facility and its medical group related to payment models involving a certain level of incentive or risk associated with managing the total cost of health care or certain measures. quality. However, there are barriers already described below that make it more difficult to design and implement value-based contracts in the current environment. As the number of value-based payment agreements between payers and suppliers increases, many of these relationships are structured in a way that does not encourage health improvement.

Insurer Minnetonka, Minn.-based reports that nearly $75 billion in annual payments to suppliers are now tied to value-based payments, but Nguyen said he has often felt that suppliers aren`t really interested in working with them. However, imperfect insurer data should not be a major obstacle to the success of value-based payment models, said Kevin Sears, director of BDC Advisors, a provider and health plan consulting firm. Medical practices and health systems now have sophisticated electronic health registry systems that can perform detailed analyses for them. “While it`s true that they don`t get big data (from insurers), there are a lot of things that can be done with basic EHRs,” he said. “It`s really about taking the time to think about how this data can be used and used to improve performance.” Deloitte organized two Value Exchange Summits, which brought together nearly 30 participants from health plans, health systems, pharmaceutical companies and patient associations to answer the key question: “How can we accelerate BVCs to positively influence patient outcomes and reduce the total cost of health care?” And after a few payers and others, that`s how the suppliers want it. “Some of the providers we see are increasingly interested in filling hospital beds,” said Dr. Anthony Nguyen, senior vice president of population health at UnitedHealthcare. Boeing wants to expand the partnership to other markets to improve the members` health experience and save money. Each contract sets targets for all medical and medical costs of staff.


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