SCALE Value Based Care

SCALE Value Based Care Insights

SCALE Community

CEO Leadership Series

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.

Exploring the mechanics of a value based care platform, what does it take from an operational standpoint?

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.

Learn More

Webinar

One of the key reasons is that it is often more difficult for true progress toward value-based care to play out where you have health system laden markets.

Exploring Value-Based Care with Margaret Braxton

Geographic Proliferation of Value- and Risk-Based Reimbursement Models – Why Some States and Not Others?

  • Markets controlled by hospital systems are likely to be slower to meaningfully adopt value-based care models given that: (i) shifting large health system and their associated provider networks is a heavy lift and arduous task and (ii) value-based care reimbursement models are often at odds with hospital legacy revenue models and are perceived to leave hospitals with less potential upside.
  • Markets with robust independent providers are more likely to experience consolidation that is, in turn, conducive to more organized and viable adoption of value-based care models.
  • Markets with heavy Medicare Advantage patient populations are also likely to see meaningful migration to value- and riskbased models.
Learn More
5 %

Payers that believe APM activiy will increase in the next year

5 %

Payers that believe APM activiy will increase in the next year

5 %

Physicians that believe their practice lacks resources to support VBS

5 %

Payers planning to move independent practices to population-base payments in the next year

  • By 2030 CMS will have moved 62 million beneficiaries to value-based care models
  • Payers rapidly move providers to take risk arrangements for MA and ACA lines of business
  • Moving beyond “blocking and tackling” will be necessary to continue to drive savings/value
  • Private equity is investing heavily in primary care and value-based care
  • Health plans are diversifying to become health solution companies

DON’T MISS LATEST UPDATED

SCALE Community
Monthly Newsletter

Sign up Newsletter

Be a part of the SCALE family.

Join Our SCALE Team

Be a leading voice in the healthcare services industry.

Join Our Team
SCALE-Healthcare-Logo-RGB-white-002.png

Who We Serve

CONTACT US

About

Legal

Linkedin Twitter Instagram Facebook-square Youtube
Copyright @2024 SCALE Healthcare. All Rights Reserved.
  • © 2023 All rights reserved.
Linkedin Twitter Instagram Facebook-square Youtube

Join our community with our latest offering & interesting update

Please fill out the form below to sign up for the SCALE newsletter.

    SIGN UP for a free consultation

    Please fill out the details below and a team member will reach out to you.