Accelerating Value-Based Care Transformation Today and Post COVID-19

Value-based care, a model that prioritizes patient health quality outcomes versus patient services volume, has the potential to be a silver lining of this pandemic. While once thought to be a lofty, or perhaps overly ambitious goal, value-based care has become a critical approach many healthcare leaders are exploring to stabilize provider reimbursements and improve patient outcomes while reducing unnecessary costs.

To act on prospective episodes of care and the sophistication required to operationalize capitation administration, payers will need the data-sharing technology to process both adjudicated claims as well as anticipate additional inbound claims.

To truly bring these advanced models of care to life, provider groups, community organizations, and the state must align on how to incentivize every stakeholder in the healthcare system to embrace value-based care.