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The Value-Based Care Imperative—And How Technology Makes VBC Possible
Value-based care (VBC) is an alternative. These models are typically risk-based, and they reward improved outcomes for cost and quality. VBC models include primary care attribution, bundled payments and capitation, and they’re not new. For decades, U.S. healthcare costs have risen while quality has declined. Today, costs are twice as high as similarly developed countries, consuming 20% of GDP, while outcomes are the worst by almost every measure—life expectancy, disease prevention and infant mortality. VBC realigns incentives to focus on outcomes over volume. It emphasizes providing the right services in the right place at the right time to improve overall patient health. VBC rewards providers for health maintenance rather than sick care—reimbursing for preventive services to avoid or manage chronic diseases, minimize higher-cost interventions and keep patients out of costly places like hospitals and ERs whenever possible.
Medigy Insights
Value-based care (VBC) models offer an alternative approach to address the escalating healthcare costs and declining quality in the United States. By shifting from a volume-based reimbursement system, VBC models prioritize improved outcomes for cost and quality. These models, including primary care attribution, bundled payments, and capitation, emphasize delivering the right services at the right time in the appropriate setting to enhance overall patient health. VBC encourages preventive care, chronic disease management, and reducing costly interventions, aiming to minimize hospital and emergency room utilization. Realigning incentives towards value rather than volume can yield better healthcare outcomes, making VBC a crucial strategy in addressing the challenges faced by the US healthcare system.
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