Value-based care models continue to attract attention, but many organizations (including multi-employer groups) feel trapped in a healthcare system built for fee-for-service care models. But there is a way out — and it’s a sustainable path with benefits for every person involved.
It’s a winning formula for organizations looking to level their balance sheets and retain top talent by providing benefits with real-world results.
Challenges of adding value-based care
Organizations can face challenges as they consider shifting their benefits strategy to include a value-based care model.
Here are three common barriers:
Challenge #1: The status quo
The majority of healthcare providers operate in a traditional fee-for-service world. This can create a hurdle for organizations looking to find a primary care vendor who is truly invested in value-based care.
Challenge #2: Internal infrastructure
There’s a significant lack of data sharing in traditional healthcare, and many vendors don't have the informatics and analytics to deliver population health at scale — which is foundational to improving health outcomes.
If you’re feeling overwhelmed by challenges like these, partner with an expert in value-based care models.
Five ways to separate vendor promises from proven outcomes
Considering these key factors will help your organization separate the value-based winners from the well-intentioned.
Ask a vendor if their value-based model:
Puts primary care at the center of the care experience. Primary care can provide 80-90 percent of patient care.
Reduces the cost of specialty care over time. By locating care in primary care centers and utilizing high-value, low-cost specialists only when needed, organizations can sustain a significant reduction in their overall costs.
Increases access to and time with the provider. When patients and providers build trusting relationships, underlying causes are identified and health goals move beyond reacting to symptoms.
Personalizes care for all populations. Tailoring solutions to the needs of your employees ensure members receive the right care, at the right time, and in the right setting.
Has proven outcomes. Value-based vendors should be ready to provide not just support but evidence and outcomes that can be presented to your organizational stakeholders.
Advanced informatics and analysis help us deliver personalized care and bridge the gap for organizations geared for fee-for-service models. Our value-based care model is nimble and adaptable, and it’s designed to meet organizations right where they are.