Direct Dial: 309-721-7122
We are Value Based Care...
Direct Dial: 309-721-7122
We are Value Based Care...
What is Value Based Care (VBC)? VBC is all about pro-actively managing your patient population with real time measures and enhanced clinical offerings, especially for patients with chronic conditions. The Medicare Innovation Center has launched multiple new Alernative Payment Model (APM) programs including CPC+, ACO's and Care Management. At the end of the day, one of these Medicare VBC programs will work best for you and your unique needs. We help you choose the best APM/VBC program for your unique needs. And then we help you build it, launch it and reap the clinical and financial rewards you and your patients deserve.
As healthcare moves towards performance and outcome-based reimbursement, (sometimes referred to as moving from “Volume to Value”) you will need to accept fairly significant change in your clinical workflows and patient management offerings. The reimbursement methodology used today is called “Fee-for-Service” and will be replaced by the new methodology of VBC by 2025. This is a dynamic shift in healthcare. We can help you build a custom VBC program for your health system or medical group that will facilitate and prepare your PCP's for this dynamic shift in reimbursement.
A primary focus of VBC is to capture as many as 500 unique clinical measures for every patient providing a “Risk Stratification” (RS) score to the PCP and the medical group. This RS score used in concert with a Clinical Documentation Improvement (CDI) program prepares the PCP for optimal reimbursement when CPT codes alone are no longer the primary source of practice reimbursement.
We all know that Medicare loves acroynms and complex new rules. When you work with us, we make it easy to unravel the secret code of VBC. We will help you understand that change is good, and how your patients will benefit from your new expanded service offerings. You will find that there are many great options for your practice and your patients with a new VBC program designed specifically for your practice and your patients.
We tackle the secrets and take the mystery out of implementation of "Value Based Care" for your Health System or Medical Group. Perhaps you have heard that the Medicare MIPS program is not worth it.... to much work for too little reward. After we complete an in-depth analysis of your unique patient population, we should be able to build a new approach to clinical measures and the related delivery of preventative services. With MIPS just the tip of the iceberg in new revenue opportunities for your Health System or Medical Group.
Perhaps you are the Administrator of a Rural Hospital, struggling to keep your head above water.... we will show you how to simply implement new clinical service line extensions for your entire Medicare population, while simultaneously improving clinical outcomes and building new revenue centers.
Perhaps your are one of the owners of a Medical Group that is considering selling your practice to a large health system because of the complexities of the business of healthcare. In the past, your Primary Care Physician medical group typically averaged $300 reimbursement per patient per year. Now in the new world of VBC... you can generate over $1,000 per patient per year, finally getting paid for what you are worth.
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Phone: 309-721-7122 - sanderson@innova4health.com