Successful value-based care initiatives require payers to learn which populations experience a high prevalence of chronic disease, where their organizations overspend, and how value-based contracting can solve these problems.
Carefully assessing value-based care opportunities, implementing analytics strategies that can accurately identify opportunities, and monitoring success with meaningful quality measures can help payers achieve higher quality while reducing unnecessary spending.
Determining where to focus population health management efforts
Value-based care needs to create positive healthcare outcomes for a payer’s most vulnerable beneficiary populations. Assessing vulnerable and at-risk beneficiary groups is key for most value-based care programs.