Supporting Providers in Value-Based Care: Strategies & Insights
Enhance health care outcomes and provider support in value-based care. Explore best practices, ACO insights, and new opportunities for optimizing care delivery and patient outcomes.
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Presentation Transcript
Improving Health Care Outcomes & Supporting Providers in Value-Based Care Amol Navathe, MD PhD University of Pennsylvania @amolnavathe
ACO lives and penetration by state, Q1 2021 Physician Groups are Leading the Way in Value-based Care Value-based models, like ACOs, are expanding and are here to stay # of ACOs 38 76 28 36 20 26 13 18 10 12 5 9 0 4 Physician groups have performed particularly well Source: https://www.healthaffairs.org/do/10.1377/hblog20210609.824799/full/ Public and private payers are investing in physicians Example health plans innovating with physicians
Best Practices in Value-based Implementation Use techniques to support physicians with information, infrastructure, and incentives Make investments in culture and make them physician-led Promote transparency, co-creation, and buy-in overall Provide rewards based on short-term performance indicators Encourage selection of appropriate measures and salient incentives Provide estimates of incremental revenue that practices did not receive by not meeting targets Enable development of workflows and other tools to support clinicians in improving practice patterns Provide comparative reports between practices in the same ACO Encourage practices to focus on key upstream KPIs Proactively identify unintended consequences such as conflicts with other incentives or potential misinterpretations Prioritize high-risk patients and offer plan to close gaps Create automated work lists to coordinate outreach Create culture of change
New Opportunities Covid has unlocked new opportunities particularly around telehealth and home-based care. Seizing upon these is critical.
