Value-based care is a form of reimbursement that ties payments for care to the quality of care provided and rewards providers for both efficiency and effectiveness. It has emerged as an alternative and potential replacement for fee-for-service reimbursement, which pays providers retrospectively for services delivered based on bill charges or annual fee schedules. A patient in a value-based healthcare model will have fewer doctor’s visits, medical tests, and medical procedures because the patient-centered approach is built around the patient’s goals.
For more information about value-based care, please refer to the Value-Based Healthcare Brief. Real-world scenarios are also included to illustrate examples of how patients benefit from value-based care.
OHPI in the Bureau of Rural Health and Primary Care is dedicated to improving access to quality healthcare services and working with concerned parties to reduce the total cost of care for Idahoans. This includes supporting policy development and assisting organizations that work to increase the adoption of value-based healthcare, such as the Healthcare Transformation Council of Idaho and its workgroups. OHPI serves as bridge between healthcare systems, providers, insurance companies, and other stakeholders that might otherwise experience challenges working together across disciplines, but have a shared interest in better outcomes for patients.