Value-Based Operationalization

Operational efficiency is critical to achieving success in value-based payment models

Labor-intensive processes must be replaced with more cost-effective operations.

Between 2012 and 2013, the average reimbursement rate for all new and established office visits declined by nearly 9 percent on top of a 10 percent decline which occurred in 2011 to 2012.

This decline in fee-for-service means that more commercial payors are looking for practices and providers they can partner with for value-based reimbursement models. These models allow you to receive higher pay if you provide high-quality, low-cost care.

OnePartner can help you determine your options and create and execute a strategy which benefits you and keeps the patient at the center.

Labor-intensive processes must be replaced with more cost-effective operations.

To create value and be successful in value-based payment models, you must do more than just check a box. You must:

  • Provide data at the point of care to support improved clinical decision making 
  • Create a "team" which functions and works as one unit with one community record
  • Leverage data to affect changes in behavior (for both physicians and patients)
  • Drive services and referrals to high-quality, low-cost facilities & providers
  • Use data to identify patients with a high risk of hospitalization, readmission, ER utiliation and other costly events
  • Create focused efforts on patient interventions and outreach/education where it brings the most value
  • Develop programs to target specific needs of the population

OnePartner can help you build a sustainable operational model which will:

  • Position you well for success in value-based contract negotiations
  • Focus on excellence in quality clinical care and patient experience
  • Improve your ability to quickly and easily identify areas of risk and opportunities for immediate improvement
  • Enhance the entire organization’s understanding of value-based contracting and the direct affect operations has on your ability to achieve financial and clinical success
  • Create an organizational culture which is patient-centric and team-oriented to achieve success
  • Speed your success in value performance