New solutions are needed to put an end to the rising cost of healthcare. The US pays more for healthcare than any other country, and 30% of all US healthcare spending is wasted, demonstrating that the fee-for-service status quo is both inefficient and unsustainable.
The Vera advanced primary care (APC) model is a proven alternative to traditional healthcare models. It reduces total cost of care, improves health outcomes, and increases member satisfaction
Advanced primary care defined
The foundation of APC is strong 1:1 patient-provider relationships underpinned by informatics, referral management and care coordination, and integrated health coaching. APC leverages realigned incentives between payers, providers, and patients — giving everyone the freedom to prioritize health outcomes over reimbursement.
At the core of the APC difference
APC builds on the foundation of true primary care by nurturing the patient-provider relationship with longer appointments and empathetic listening. It’s a supportive, human approach to healthcare where underlying causes are discovered and discussed proactively.
APC succeeds by:
Providing 80-90% of care in the primary care setting and coordinating specialty care
In the APC model, care centers are a medical hub where members receive the vast majority of their care. Virtual care options are also integrated, making it even more convenient for members to access care when and where they need it.
When specialty care is appropriate, Vera care teams coordinate, follow up, and incorporate results into each member’s care plan. This coordination prevents gaps in communication and treatment — a dynamic especially beneficial to Medicare Advantage populations, who often manage multiple chronic conditions.
Leveraging informatics and data to meet the needs of a specific population
Data sets from claims, EMR data, and user-generated surveys all inform how the APC model is tailored for specific populations. These data sets serve as the foundation of the population health management strategy, while data and analysis also help personalize care delivery and member outreach.
Our partnership with Castlight Health enables us to take personalization even further, using data and technology to provide members with access to a cutting-edge health navigation experience.
Embedding Vera whole health coaches within each care team
Vera health coaches are fully integrated into the clinical care team and are trained in the transtheoretical model of change (TTM) to support members in positive behavior change and achieving life goals, such as weight loss, smoking cessation, and improved sleep.
Making healthcare sustainable
In a recent study, Deloitte predicted a systemic refocusing in the healthcare industry, with overall spending going down and priorities evolving “from health care to health.”
Value-based APC aligns well with the changes predicted in this more sustainable forecast by harnessing personalized data, centering care around the needs of members, focusing on prevention, and reducing the necessity of future costly interventions.