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Case in point An older patient with multiple chronic health conditions relies on her primary care physician to manage her health, provide preventative care, and coordinate care with other providers via a shared network. With visibility into all the healthcare benefits available to his patient through her health plan, the doctor encourages her to try out some wearables to monitor her conditions, leading her to take greater control of her health on a day-to-day basis. The VBC approach saves money for both patient and provider as well as the insurer, because the patient avoids unnecessary services thanks to her healthier lifestyle.
Expand the use of value-based care
Solutions • AI-enabled back-office claims processing • Well-trained advocates with deep VBC understanding who can translate where needed to provider and patient care • Continued analytics/reporting for payers to quantify ROI and benefits of VBC to their organization
The new operating environment of 2028 will prioritize the value-based care delivery model. When providers move from fee-for-service to value-based delivery, they are incentivized to spend more time with patients in the preventive phase of care, which ultimately reduces the amount of time they need to spend on disease management. This will result in better patient health and engagement and lower cost to all. Patient by patient, cost can be removed while improving health outcomes, which will take cost out of the entire healthcare operating environment.
See how it’s done
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