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Outcome-Based Care

Enhance Collaboration and Create Alignment Among Patients, Providers, Suppliers, and Those Who Pay for Care

smiling medical staff in a meeting

Solutions and Technology to Support Change

Value-based care is a concept that continues to gain traction around the world – it is hard to argue with providing incentives for everyone to do the “right” thing. The mechanisms and specifics of value-based payment models vary, but the basic elements are the same everywhere: agreed upon care standards, incentives to follow them, and measures of success with the goal of improving outcomes and lowering cost.

Whatever your place in the value-based care chain, HealthShare delivers the information you need to succeed:

  • Providers have comprehensive information to redesign and manage complex care processes
  • Payers have the data to automate and streamline approvals and measurement and to more effectively support provider networks
  • Patients have the tools to manage their own health and wellness
  • Public health authorities have visibility into health outcomes across a region
  • MedTech companies have data to inform outcomes-based contracting

 

 

Manage Populations and Patients

You may manage high-value care for an entire geographic region, a disease cohort, a membership base, or a patient panel. No matter the size and complexity of the population, HealthShare’s extended decision support capabilities continuously monitor new information. When it finds gaps in care, significant new information, or trends that indicate the need for course correction, it notifies caregivers and patients. Similarly, when medical device data is added to clinical, administrative, and patient-generated information, HealthShare can generate insights that demonstrate how the device is improving outcomes and preventing adverse events.

Become a Learning Healthcare System

The success of any value-based care endeavor depends on continuously measuring results and learning where to make improvements in care and processes. With HealthShare and partner solutions, you can

  • Measure the quality, outcome, and process of care for each patient relative to best practices
  • Apply predictive models to a cohort’s data to identify population members who will benefit most from increased attention
  • Use measurements to inform all care team members about best practices and the delivery of personalised, coordinated care for patients and their families
  • Expand each individual’s longitudinal record, which further enriches measurement and the total body of evidence for enhancing care

Compliance with Regulatory Programmes

One way that we support your move to value-based care is to help you stay compliant with regulatory programmes, including:

Related Resources

Dec 02, 2020
Watch this on-demand HFMA webinar on how the COVID-19 pandemic has put great stress on all parts of the health ecosystems, while also opening doors to innovation. If the shift to value-based payment models is accelerated due to the pandemic, the need for data transparency between payers and their provider networks must be in place to enhance trust and transparency.
Aug 16, 2018
I recently read an article in New England Journal of Medicine (NEJM) Catalyst1 that showed that the “alignment” between providers and payers does not seem to be closing, despite the industry shift to value-based payment.
Apr 27, 2021
eHealthTALK New Zealand
InterSystems TrakCare is a “Foundational Enabler for Value-based Care”
Dec 20, 2018
by Lynda Rowe
Globally, populations are aging and the prevalence of chronic conditions is increasing. At the same time, those paying for care struggle to support its rising costs. It’s an unsustainable situation, yet health systems must remain sustainable to meet the needs of entire populations. To achieve this, health systems are shifting to value-based and outcomes-based payment models, versus paying for the volume of healthcare services delivered. The new payment models focus on keeping patients out of the hospital through preventative screenings, wellness plans, at-home care, and other measures that can improve outcomes and generate shared savings. Medical technology (MedTech) companies can play a key role in the success of value-based care initiatives.

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