Changing Healthcare Market Moving from Volume to Value. Supporting Better Performance. Paying for Better Performance. Paying for Higher Value. Fee for Service. Prospective Payment. Pay for Reporting. Payment for Coordination. Pay for Performance. Episode- Based Payments. - PowerPoint PPT Presentation
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Changing Healthcare MarketMoving from Volume to Value
Key Questions:• How does this shift fit with your overall strategic agenda?• What is your position on the risk continuum?• What have you learned?• What are the major payer/operating threats moving forward?
5 Key Provider Responses to Value-Based Care Delivery1. Scale and Standardization – Growth by acquisition, standardized operating models2. Continuum Expansion – Extending service breadth and transitions across the continuum3. Provider & Clinical Integration – Tighter clinical integration and demand management 4. Patient & Family Engagement – Improved connections and navigation services5. Payer & Provider Collaboration – Improved population health management capabilities
Care Coordination & TransitionsImprove continuum integration by coordinating care across settings and effectively managing care transitions to reduce readmissions
Provider & ClinicalIntegrationIntegrate and improve connections with providers across the continuum and align incentives with clinical outcomes
Population HealthManagementMeasure, manage, align incentives, and continuously improve the organization financial outcomes and individual and population health outcomes
Care Delivery OptimizationImprove patient access to high quality care, reduce health disparities, and improve efficiency and effectiveness of operations
Patient & FamilyEngagementImprove patient, caregiver, and family participation, empowerment, and engagement in their health care plans