As value-based care gains momentum, healthcare systems and insurers are looking at care with a new lens. Reimbursement is dependent on positive patient outcomes, not the volume of services rendered. As a result, providers must take a team-based approach to care that focuses on the whole person, not just the conditions that patients present at a given point in time.
Within five years, value-based care could be the norm for most patient populations. The Health Care Payment Learning and Action Network, a public-private partnership established by the Centers for Medicare and Medicaid Services, has set aggressive goals. By 2025, they expect 50% of Medicaid and commercial insurance payments and 100% of traditional Medicare and Medicare Advantage payments to be tied to quality and value.
Value-based care organizations recognize that a significant key to success is getting the treatment plans right the first time for the right individuals. However, delivering the right care to the right people at the right time, requires providers to have comprehensive knowledge about their patients.