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picture1_Health Ppt 82826 | Preparing For Value Based Care


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File: Health Ppt 82826 | Preparing For Value Based Care
agenda www shpllc com 2 first and foremost www shpllc com 3 1 health affairs value equation www shpllc com 4 vbc defined cleveland clinic value based care is simply ...

icon picture PPTX Filetype Power Point PPTX | Posted on 10 Sep 2022 | 3 years ago
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                                                            Agenda
                                     www.shpllc.com                       2
                                                                                                   First and Foremost
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                                                                          1 Health Affairs
                                             Value Equation 
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                                                          VBC Defined 
  Cleveland Clinic
  Value-based care is simply the idea of improving quality and outcomes for patients. Reaching this goal is based on a set of changes in 
  the ways a patient receives care. We’re looking to make healthcare proactive instead of reactive, preventing problems before they 
  start.
  Revenue Cycle Intelligence
  Value-based care is a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards 
  providers for both efficiency and effectiveness. 
  CMS
  Value-based programs reward health care providers with incentive payments for the quality of care they give to people with Medicare. 
  These programs are part of our larger quality strategy to reform how health care is delivered and paid for.  Value-based programs also 
  support our three-part aim: Better care for individuals, Better health for populations, Lower cost.
  UVA Sponsored – State Healthcare Cost Containment Committee Report (2014)
  The goal is straightforward but ambitious:   Replace the nation’s reliance on fragmented, fee-for-service care with comprehensive, 
  coordinated care using payment models that hold organizations accountable for cost control and quality gains.
                                             www.shpllc.com                              5
                                                                Defining Value 
                                                                    Based Care
   Value Based Care has no single definition
   At its most basic, VBC is ‘intended’ to be improved outcomes for less money.
   Who’s Doing the Defining – Patients / PCP’s / Specialists / Payors / Health Systems ?
   Variables:
       Type of population: Medicare/Medicaid/Commercial
       Type of Insurance: HMO, PPO, Narrow Network
       Type of Provider: PCP, Specialist, Hospital
       Market environment / pulse 
                                                 www.shpllc.com                                   6
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