Exploring the mechanics of a value based care platform, what does it take from an operational standpoint?
Below is an excerpt of the full interview conducted with Yates Lennon. Download the PDF now for the full article.
Key Takeaways
Successful execution in risk-based models requires
investment in mostly additive teams, skillsets and
operational strategies relative to traditional fee-for-service care delivery
Effective value-based care draws upon specialized programs and a full team approach versus solely upon a MD-centric model. Achieving contract measures is not just an ask of the MD, it’s an ask of the office team.
- Specialized operational programs extend the realm and nature of care
- Risk coding & clinical documentation
- Care management and transitions-in-care program
- Social worker care
- Transportation program
- Pharmacy management
- Value-based care contracting
- New approaches to problem solving – for example, how to mitigate the care & financial cost of poor medication adherence across patients who cannot afford their medications
- Old paradigm: Problem often left unaddressed without any clear solution
- New paradigm: Dedicated teams responsible for tapping into the full range of community resources to fill the medication order through normal channels and / or grants, foundations, manufacturer programs, lowincome subsidies and other available programs
- Newly additive programs require investment – aim to match the pace of infrastructure development with the contract terms and progression to full risk so that your infrastructure maturity is ideally never too far ahead or behind the contract terms
His value-based care expertise allows him to translate his knowledge into initiatives that health care teams understand and can implement to ultimately transform patient care.
