Let’s check on understanding
Below are two columns. The left column is pre-filled with statements describing the current volume-based health care system. Each of the statements corresponds with a description of the value-based, or goal, alternative. Drag and drop these value-based descriptions into the appropriate column on the right, “The Goal: Value-Based Health Care,” to correspond with its volume-based statement.
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Team-based care interactions organized around patient medical needs and conditions (e.g. “musculoskeletal pain”)
Integrated care across units and facilities, such as in an integrated practice unit (IPU)
Measurement focused on patient health outcomes
The actual costs of providing patient care are measured and captured
Providers are reimbursed based on value of care provided across a full care cycle for medical conditions
Health information technology is leveraged to help restructure care delivery and accurately measure results
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The Current System:
Volume-Based Health Care
Volume-Based Health Care
The Goal:
Value-Based Health Care
Value-Based Health Care
Individual care interactions organized around the clinician’s medical expertise (e.g. an orthopedic surgeon)
Fragmented care that is organized at the level of individual units or facilities
Measurement largely based on process measures and “billable activities”
Costs are poorly captured and often are estimated by using poor proxies such as charges and reimbursements
Providers – physicians and health systems – are reimbursed based on individual services provided
Health information technology maximized for capturing billing processes and reporting necessary metrics
