Value-Based Care Consulting Services

Revolutionize Your Practice with Expert VBC Consulting

Having an alternative to the fee-for-service model can break the cycle of a suboptimal status quo. Value-based models are designed to elevate the healthcare experience for all: financial rewards for providers, better health outcomes for patients, and cost management for payers. Our value-based care consulting teams leverage their depth of expertise to help your organization access the benefits of value-based programs. 

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Benefits of Value-based Care Consulting Services  

Why get into value-based care when fee-for-service is working just fine? Before deciding to further postpone a move to value-based care, consider what advantages consulting for value-based care could bring: 

Standardization

Opportunity

Unlock access to better payer contract terms and support resources to propel performance success. 

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Revenue

Health plans are willing to financially reward providers for better performance, so passing up these opportunities leaves money on the table.

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Efficiency

As a whole, operations become more efficient when value-based strategies are implemented.  

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Loyalty

Retain patients and healthcare talent with a system designed to boost satisfaction on both ends of the provider-patient relationship. 

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Conservation

With cost-savings as the objective of value-based models, adopting this new framework can expand savings to multiple areas of the business 

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Distinction

When value-based programs drive a significant increase in patient satisfaction, providers build prestige and establish a reputation which attracts more new patients and provider referrals 

Healthcare organizations may be hesitant to embrace value-based care as it is a major business adjustment. But with the help of value-based care consulting specialists experienced in practice transformation, providers can move forward with confidence.  

About Our Value-Based Care Consulting Services

Our value-based care consulting experts are your personal guides into the territory of value-based care. With the help of our consultants, you will find the right path to VBC. To equip your organization to meet VBC performance targets, we customize a strategy to improve your operations at multiple levels from optimizing tools, to setting up accurate reporting, to training your staff for success. Aspects of this process include, but are not limited to: 

Data-Driven Quality Enhancement

Through Quality Improvement Analysis, consultants for value-based care evaluate outcomes and enhance quality of care using claims data and outcome information. They aid in Model Implementation & Strategy Development by guiding organizations in adopting value-based reimbursement models and customizing optimal care delivery models 

Cutting-Edge Tools for VBC Success

Clients receive robust support in implementing tools and technology for optimal participation and performance in value-based care initiatives, ensuring readiness for the evolving healthcare landscape. 

Seamless Transition to Value-Based Systems

Value-based consultants assist organizations in smoothly transitioning into new value-based systems and operations protocols. Their primary aim is to position care teams to drive patient outcomes while minimizing unnecessary treatments and costs through comprehensive data analysis, care coordination, and performance benchmarking.  

ACO: Low-Risk Gateway to VBC Programs

One pathway to value-based care that our consultants are excited to offer is our Accountable Care Organization (ACO). Our ACO is a supportive community offering primary care providers low-risk entry into CMS (Centers for Medicare and Medicaid) incentive programs – putting your organization into experienced hands to improve quality across your entire patient panel, while maintaining your practice autonomy.

Whether you join our ACO or seek a roadmap for success with another patient-centered model, Medical Advantage is prepared to make your venture into value-based care a most rewarding one. 

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The Importance of Value-Based Care  

Fee-for-service continues to be the more common payment model in healthcare, but as time goes on, it perpetuates the following by-products:  

  • No accountability for outcomes 
  • Uncontrolled costs 
  • Negative consumer sentiment 
  • Poor patient-provider relations 
  • Provider burnout 
  • Chronic inefficiency 
  • Fragmentation 

Value-based care is an alternative model designed to counterbalance these detrimental aspects. 

Value-Based Care as a Solution 

Value-based care models aspire to make healthcare work better for everyone involved: patients, providers, payers, and communities. By shifting to a patient-centered model of care delivery, the healthcare workforce can drive efficiency that lowers costs, accountability that enhances quality, collaboration that boosts productivity, health outcomes that restore public trust, and satisfaction that prevents burnout. 

Schedule Your Value-Based Care Consulting Demo Today

FAQs About our ValueBased Care Consulting Services

The prospect of VBC buy-in raises many questions that value-based care consultants are prepared to answer. Here are some initial questions we field from curious healthcare leaders.  

What makes value-based care different from traditional care models?

Value-based care differs from traditional care models by prioritizing patient outcomes, cost efficiency, and high quality over quantity. Such objectives are achieved through preventive care, effective management of chronic diseases, increasing patient satisfaction, and rewarding providers for cost efficient performance. This model encourages coordinated care among healthcare providers, leveraging data and technology to improve patient health and reduce unnecessary interventions, contrasting with the traditional fee-for-service model which can lead to higher costs and fragmented care.  

Why should my organization transition to a value-based care model?

The fee-for-service model has been a mainstay in healthcare for so many years that it’s hard to imagine the system operating any other way. As the alternative model of value-based care emerges to fundamentally alter many administrative aspects beyond just compensation, this invokes a fear of change. But as more healthcare entities successfully adopt the value-based structure and bear witness to its benefits, this can inspire others to follow suit. What’s more, there is continued development and growth of programs that provide comprehensive support for providers in their efforts to improve quality and cut costs. Consulting firms like Medical Advantage provide such support, making the implementation process much less intimidating.  

How do you measure success in value-based care?

Success in value-based care is measured by improved outcomes among the patient population, such as reduced hospital readmissions and better management of chronic diseases, other key measures of success include:  

  • Cost efficiency through lower healthcare spending while maintaining quality 
  • High patient satisfaction scores 
  • Performance on standardized quality metrics 
  • Enhanced care coordination among providers 
  • Increased use of preventive services 
  • Effective use of health information technology to monitor and improve care 

These metrics together provide a comprehensive view of the effectiveness of value-based care initiatives.  

What is the role of technology in value-based care?

Technology plays a crucial role in value-based care by enhancing data analytics, enabling the seamless sharing of patient information through electronic health records (EHRs), and expanding access to care via telemedicine. It supports patient engagement through digital tools, uses predictive analytics to identify at-risk patients for early intervention, aids population health management by tracking health outcomes and tailoring interventions, and improves care coordination through integrated platforms. These technology tools are vehicles to drive health outcomes, increase patient satisfaction, and reduce healthcare costs. 

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