Direct Contracting and Advancing Home-Based Care with Landmark Health

To create incentives for the longer visits, the investments in the care platforms that we need to enable comprehensive primary care, we believe that you need value-based care to reward the provider for the long-term value they’re generating, not just to cover the costs of what they’re doing in the moment with the patient.

Finally, to ensure higher-cost in-home care models are being used appropriately in a way that improves quality and reduces costs, we need to make sure that we’re reimbursing them on the value that they create. Otherwise, we risk increasing fee-for-service payments to compensate for the higher costs of in-home services, but we don’t have a mechanism to ensure that those visits are being used for the right patients and the right situations, and we potentially risk adding cost to the system that’s in excess of the value that the services are creating.

I see Direct Contracting as a great tool for introducing that value-based framework that’s going to hopefully unlock new innovative models of in-home care, as well as other innovative models in primary care, and probably models that we haven’t even thought of yet. So, I’m really very bullish on this and very excited to see that CMS is looking at ways to shift the whole healthcare system to a more value-based paradigm.

Read on avalere.com