Getting the Best Outcomes from Value-Based Care

As the US moves towards value-based reimbursement for Medicare and Medicaid, uncertainty surrounds the logistics of such contracts. In a new article, Lavonna Bowman of Inovalon discusses the biggest questions surrounding value-based care. The first key step to improving health outcomes for patients is to clearly define the goals the care system is trying to reach.

According to Bowman, “Health plans and their physician partners need technology to set and manage each goal in their contract – and for health plans, each contract in their network. Contract management should include defined quality measures of focus, activities involved in improving measure outcomes, and alerts to know when goals are at risk of not being met.”

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(Source: Health Leaders, September 22^nd, 2022)