This is an analysis of value-based care approaches that meet the current and future needs of patient care delivery.
Identify at least three approaches that meet the current and future needs of patient care.
How do these approaches meet the needs of current and future patient care. Be specific in this explanation.
Current Need: Fragmented Care for Chronic Illnesses
ACOs and PCMHs solve this by replacing siloed care with integrated teams and shared patient data. For instance, a diabetic patient under an ACO will have their primary care physician, endocrinologist, and dietitian all working from the same goal (improving A1C levels and avoiding hospitalizations), incentivized by the shared savings model.
Future Need: Financial Sustainability and Predictive Care
The VBC models ensure sustainability by making quality the financial driver. ACOs and BPMs shift financial incentives to rewarding positive long-term outcomes, rather than the volume of services. This enables predictive modeling (a key future component) in PCMHs, allowing them to use data to identify and support a patient before a crisis, ensuring long-term financial viability for the provider while simultaneously improving patient health.
Value-based care (VBC) emphasizes high-quality, cost-effective care. Here are three leading approaches that meet the current and future needs of patient care delivery:
The following three models are essential VBC strategies for improving care quality and financial sustainability now and into the future:
An Accountable Care Organization (ACO) is a network of doctors, hospitals, and other healthcare providers who come together voluntarily to provide coordinated, high-quality care to their Medicare patients. The goal is to ensure patients, especially those with chronic conditions, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.
These models restructure primary care to be holistic, coordinated, and patient-centric. The Patient-Centered Medical Home (PCMH) is a prominent example, focusing on robust primary care practices that use multidisciplinary care teams, health information technology, and enhanced patient engagement to manage chronic conditions and preventive care.
Bundled Payment Models (BPMs), often referred to as "episode-based payment," provide a single, fixed payment to providers for all services delivered to a patient for a specific condition or course of treatment (e.g., a hip replacement, or a 90-day period following a heart attack). This contrasts with FFS, which pays for each individual service.