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