Tag Archives: patient-centered care

Health systems find direct contracting with employers beneficial, yet difficult

Contracting directly with large employers to provide care for their employees is an increasing trend among health systems. Successful direct contracting programs address employers’ frustrations with skyrocketing costs by proving value, according to a Hospitals & Health Networks article reprinted in the Spring/Summer edition of Optum RISKMATTERS. One health system that is proving value, Aurora […]
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Trust: The secret sauce for the next generation of health care

Survival in today’s value-based health care industry takes trust — in people, technologies and business processes. Trust is the “secret sauce” that brings everything together, said health care futurist Joe Flower in the Spring/Summer edition of Optum RISKMATTERS. Volume to value, the shift from doing fee-for-service medicine to taking a financial risk in one way […]
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Make patients the center of your provider network

All providers have one thing in common: they want their patients healthy and happy. Physicians, specialists, pharmacists, therapists and others work to deliver the highest quality care they can. But they primarily coordinate services independent of other providers. As value-based models become the norm, health care providers are quickly realizing that collaboration and cooperation between […]
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Relationships the secret to value-based health care success

Lehigh Valley Health Network (LVHN) executives believe no doctor, hospital or insurance company can stand alone and succeed in value-based care. That’s why the Pennsylvania-based system’s leadership emphasizes building relationships with internal staff and external partners — each of whom influences how the others perform. In the Spring/Summer edition of Optum RISKMATTERS, LVHN CEO Brian […]
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Eliminate silos, strengthen teamwork for better patient care

More than 40 years ago, the Institute of Medicine released its Educating for the Health Team report that advocated cross-functional provider teamwork over siloed service areas. But fee-for-service payment models kept such forward thinking from taking hold. Under value-based reimbursement, which incentivizes providers to take on risk, inter-professional collaboration is now the rule rather than […]
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Match provider networks with value-based care models, payer contracts

High-performing provider networks aren’t built on luck. They take careful strategy and an accurate vision of how an organization will best perform under value-based reimbursement models. Providers chosen for a network will vary in performance and quality. Organizations should build networks with current contracts in mind, with long-term vision of its position on the risk […]
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Data can help shape patient interventions.

The future success of fee-for-value payment models depends partially on the ability of provider organizations to help patients manage their own health. The idea is that proactive interventions will keep patients healthier and avoid the high costs that arise when a condition worsens to the point of requiring acute care. Analytics can help providers create […]
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