At a time when the United States pays more on healthcare than any other country — and 30% of all U.S. healthcare spending is wasted — it’s clear the fee-for-service status quo is inefficient and unsustainable.

Advanced primary care (APC) offers a true alternative that is proven to reduce costs, improve health outcomes, and increase quality scores. Let's explore what differentiates APC from traditional healthcare and how it achieves these improvements.

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Advanced primary care defined

APC is the next evolution of primary care, delivering the essential 1:1 patient-provider relationship through informatics, referral management and care coordination, and integrated health coaching. APC leverages realigned incentives between payers, providers, and patients — which gives everyone the freedom to prioritize health outcomes over reimbursement. 

Because APC is built around patient-provider relationships, it’s fitting that virtual care (or telehealth) is an increasingly common solution in an era marked by social restrictions and remote work. How common? Patients are using virtual care services to engage with providers at a rate 38 times higher than before the pandemic

 

Download our free eBook on Advanced Primary Care to unpack APC’s key benefits for organizations, payers, and patients.

The APC difference

APC builds on the foundation of true primary care by nurturing the provider-patient relationship with longer appointments and empathetic listening. It’s a supportive human approach to healthcare where underlying causes are discovered and discussed proactively (rather than responding to symptoms reactively). 

APC is a multifaceted model that succeeds by:

  1. Providing 80-90% of care in the primary care setting and coordinating care when specialty care is appropriate: In the APC model, care centers provide a medical hub for members where they can receive the vast majority of care. The care team also coordinates specialty care, including follow-up and integration into the member’s care plan back at the care center. This type of coordination prevents gaps in communication and treatment — which is especially beneficial to Medicare Advantage populations who are often managing multiple chronic conditions.
  2. Leveraging informatics and data to meet the needs of a specific population: Data sets from claims, EMR data, and user-generated surveys inform how the APC model should be tailored for a specific population. These data sets serve as the foundation of the population health management strategy. The data and analysis also help personalize care delivery and member outreach.
  3. Embedding health coaches within each care team: Professional health coaches use the Transtheoretical Model to help patients make positive behavior changes and achieve life goals.
  4. Making healthcare sustainable: APC aligns with credible projections of healthcare’s shifting future, when patients will “rely on preventive measures … tailored to their lifestyle and behaviors.”  
  5. Reducing overall costs significantly: One renowned children’s hospital saved $15 million in net savings over five years after adding APC and an on-campus care center to their employee benefits. And that’s just one example of how a holistic approach to healthcare can revolutionize results.

Vera’s APC: A national leader

Whether it’s an organization trying to improve workforce health outcomes and lower their total cost of care, or a payer seeking to increase satisfaction and provide an unparalleled member experience, Vera’s APC model answers with proven and validated outcomes.

Want to learn more about the ways APC alleviates the pressures of healthcare’s status quo? Read our free APC guide for more real-world benefits and solutions.  

Editor's Note: This is an updated version of the original post published July 2, 2020.

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