Serving Value-Based Payment Models.

New Value-Based Payment (VBP) models are changing the nation’s healthcare landscape. Instead of fee-for-service, these new payment models provide incentives to improve the quality of services people receive, health outcomes, and control over healthcare costs. VBP models are driving delivery system transformation with an emphasis on prevention, performance, and more well-coordinated and comprehensive services. One of the most intriguing aspects is the novel focus on delivery system models that address the social, economic, and behavioral drivers of health along with medical needs. Traditionally segregated providers are working together in new ways to improve outcomes for people with high cost, complex conditions, which often includes attention to challenging life circumstances that are well beyond the boundaries of traditional medicine such as self-management and wellness programs, end-of-life care, hospice, and home and community-based services.

Creating Proactive Patient Outreach

In this transformative landscape, it is essential for a wide array of providers to be able to share more complete information enabling them to work together to deliver services that address complex needs of individuals and families. It is also essential for providers to be able to use population-level data for proactive outreach, to measure performance, and to guide the coordination and quality initiatives that are at the heart of a learning health system. Ideally, a blend of better information and innovative service models can and should be used to engage patients, address the risk factors attributing to poor outcomes, improve control of chronic disease, and reduce unnecessary acute care expenditures while improving service offerings and access to innovative health services.

A Proactive Team-based Service Model

Privis Health offers a comprehensive data-driven program including proactive team-based service models, a structured approach to a transformation network that balances local innovation and enterprise priorities, and a supportive technology platform. These assets can help a health system to deliver the most effective preventive services, improve the health and well-being of the population they serve, control growth in healthcare expenditures, and continuously improve its programs from what it learns.