Posts Tagged ‘high-value healthcare’

Infographic: The Cost of Low-Value Healthcare

October 28th, 2016 by Melanie Matthews

The use of low-value care and the associated cost is a significant concern in the U.S. healthcare system—the National Academy of Medicine (formerly the Institute of Medicine) indicated an estimated $765 billion of wasted healthcare expenditures in 2013. However, solutions to measure, identify, and eliminate low-value care are challenging and complex. To date, most efforts aimed at reducing low-value care have been limited to areas where there is a high degree of consensus that the care rendered is low value, according to a new infographic by the University of Michigan Center for Value-Based Insurance Design (VBID).

The infographic examines how VBID can address the issue of low-value care.

Positioning for Value-Based Reimbursement: Leveraging Care Management for Clinical and Financial OutcomesWhile others wait for the healthcare industry to complete its transition to value-based reimbursement, Bon Secours Medical Group has already aligned itself with payment reform, leveraging its care team and providers and automating workflows to enjoy immediate rewards from its patient-centered approach.

Positioning for Value-Based Reimbursement: Leveraging Care Management for Clinical and Financial Outcomes describes how this 600-provider medical group has primed its providers to employ a broad mix of team-based care, technology and retooled care delivery systems to maximize quality and clinical outcomes and reduce spend associated with its managed patients.

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Infographic: TRICARE’s Potential for Value-based Insurance Design

March 4th, 2016 by Melanie Matthews

With TRICARE costs on the rise and increased cost-sharing leading to reduced use of high-value clinical services, TRICARE would benefit from a value-based insurance design (VBID) approach, according to a new infographic by the University of Michigan V-BID Center.

The infographic looks at the impact of VBID and compares the current TRICARE plans to VBID plans.

Healthcare’s inevitable shift from volume to value-based reimbursement is reflected not only in Medicare’s alternative payment timeline but also in the waves of commercial payors now evaluating and rewarding providers on the basis of quality of care delivered rather than number of services provided. Adding to its roster of quality-centered payment models, CMS announced in 2015 plans to explore value-based reimbursement for Medicare Advantage and home health.

2015 Healthcare Benchmarks: Value-Based Reimbursement captures the healthcare industry’s reaction to payment formulas for value-added care, and how this shift away from fee-for-service is transforming care delivery and quality.

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Infographic: Aetna’s Approach to Value-Based Healthcare

September 15th, 2014 by Melanie Matthews

With a new focus on quality of healthcare over quantity, Aetna is reporting improvements in outcome-based measures and reduced costs. In its new infographic, Aetna details its value-based healthcare options and results its achieving.

Quality over Quantity

Value-Based 

Reimbursement Answer Book: 97 FAQs on Healthcare Models, Measures and MethodologyIf one trend has transformed the healthcare industry post-ACA more than any other, it is the market’s new business model rewarding value over volume.

Value-Based Reimbursement Answer Book: 97 FAQs on Healthcare Models, Measures and Methodology provides a framework for healthcare’s new value proposition, with advice from thought leaders steeped in the delivery and reimbursement of value-based care.

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Infographic: Strategies to Slow Health Spending Growth

March 4th, 2013 by Patricia Donovan

This set of policies proposed by the Commonwealth Fund Commission on a High Performance Health System to accelerate innovation in care delivery could slow health spending growth by $2 trillion over 10 years. Suggestions include provider payment reforms, high-value consumer choices and healthcare market improvements.

healthcare spending

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You may also be interested in this related resource: Moving Forward with Payment Bundling.

Infographic: We’re Running Out of Doctors in the United States

November 13th, 2012 by Patricia Donovan

Primary care physicians — the ones who cover comprehensive health needs and provide continuing care for their patients — were once the foundation of a high-value American healthcare system. But now, family doctors are becoming an endangered breed, as shown in the infographic released by Good.

Physician Shortage
Courtesy of: Good

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