Where Health Systems are in the Shift to Value: Four Categories

One could make the argument that there are four situational categories under which all health systems now fall on the journey toward more value-based care and away from the fee-for-service model. Assisting health systems in successfully transitioning to value-based care and delivering improved clinical and financial outcomes for their patient populations depends on very different approaches depending on where they fall on the spectrum. Appreciating these differences is critical to understanding how to approach each group of health systems when articulating value to achieve high-quality clinical and financial outcomes.

Health systems are at varying stages and levels of focus when it comes to shifting their care delivery to a model emphasizing value. Although many health systems have painted a rosy picture of their transition from fee-for-service (FFS) to value-based care, the reality of the situation is far different. One could make the argument that there are four varying situational categories under which all health systems now fall.

In this article, EVERSANA’s Dr. Richard Stefanacci details four transition scenarios and the importance of understanding each to achieve high-quality clinical and financial outcomes.

Download
“Where Health Systems are in the Shift to Value: Four Categories”
186 KB
Author
Dr. Richard Stefanacci
Chief Medical Officer

Richard has focused his career on improving health outcomes, especially for some of the most vulnerable populations. This has been achieved through several avenues, beginning with his continued active role as a treating internist/geriatrician. He has also put this focus into practice as chief medical officer for several management care plans, including ElderHealth/Bravo/HealthSpring/Cigna and PACE […]