Navigating Value-Based Arrangements:
Models, Capabilities, and Metrics for Practice Groups
In today’s evolving healthcare landscape, practice groups are increasingly adopting value-based care (VBC) models to enhance patient outcomes, improve care quality, and manage costs effectively. This infographic provides a comprehensive guide to navigating VBC arrangements, highlighting essential models, capabilities, and metrics.
The Need for Integrated Solutions in Practice Groups
Managing separate electronic health records (EHRs) results in manual and duplicative administrative tasks and threatens productivity, outcomes, and value-based success. All four common VBC pathways benefit from integrated solutions to help practice groups achieve better care coordination, improve efficiency, and enhance financial performance:
Quality Incentives
EHR-derived data determines performance-based reimbursement in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs)
Bundled Payment Models
Seamless care coordination is key to participating in these models, which are often the first step towards taking on risk, reducing unnecessary costs and improving the quality of care 1
Medicare Shared Savings Program (MSSP)
Improved insights into the patient’s journey are essential for accountable care organizations (ACOs) to share savings as they deliver care to nearly 50% of those enrolled in traditional Medicare 2
Full Capitation
Clear data analytics and robust risk management strategies help providers who are responsible for both savings and losses execute strong population health management
3 Ways Technology Can Improve Reporting and Care Coordination
Practice groups need to be able to submit health data efficiently and accurately for reimbursement. This data is driven by patient care tasks, requiring seamless integration between administrative tasks and documentation. With the right technology solution, practice groups can experience both enhanced care coordination and improved reporting capabilities, driving better patient outcomes and better VBC performance.