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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.

EHR-derived data determines performance-based reimbursement in the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs)

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

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

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.

Better Care Coordination

Align incentives across the care continuum by building a preferred network and improved collaboration with post-acute partners. Pooled data between providers with one patient record improves practitioner alignment across the care team, driving better quality and outcomes.

Faster Documentation and Automated Workflows

Integration with skilled nursing facility (SNF) records and automated workflows with proactive insights result in easier, faster clinical documentation in one system, while CPT code capture and the ability to export billing enhances administrative tasks.

Maintaining Regulatory Compliance

Compliance with the 21st Century Cures Act, the ability to seamlessly submit data for MIPS reporting, and other administrative requirements involved in the delivery of VBC are enhanced by better data visibility and automated reporting functions.

Key Metrics to Measure Your Practice Group’s Success in Delivering VBC

Practice groups that look to a dedicated practitioner interface designed to address common challenges in delivering VBC see better value-based outcomes. These include metrics such as reduced readmissions, decreased ED utilization, improved chronic disease management, and increased patient satisfaction. PointClickCare’s EHR for Practice Groups is ready to help you meet these goals today.

Learn More

1. https://www.cms.gov/priorities/innovation/media/document/bpcia-strategies-success-infographic
2. https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-medicare-physician-fee-schedule-final-rule-cms-1807-f-medicare-shared-savings

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Navigating Value-Based Arrangements:

Models, Capabilities, and Metrics for Practice Groups

The Need for Integrated Solutions in Practice Groups

Quality Incentives

Bundled Payment Models

Medicare Shared Savings Program (MSSP)

Full Capitation

3 Ways Technology Can Improve Reporting and Care Coordination

Better Care Coordination

Faster Documentation and Automated Workflows

Maintaining Regulatory Compliance

Key Metrics to Measure Your Practice Group’s Success in Delivering VBC