Value-Based Care

Preparing for the Shift

How does value-based care impact hospital teams and finance leaders?

U.S. healthcare is shifting toward fee-for-value, requiring providers to know the true cost of care

While the U.S. healthcare industry has long utilized fee-for-service care, with providers pushing for high volumes and resource utilization, new legislature and payment models are causing a shift toward value-based care.

For providers, adopting value-based care means participating in new payment models, such as shared risk, global capitation, bundles or episodes of care, and shared savings models. To safely adopt these new payment structures, health systems and hospitals need to understand their costs.

Organizations will need to determine how they will participate in value-based care contracts, define and analyze their patient episodes across the continuum, and minimize variations in cost of care.

How can I prepare for value-based care?

Leverage the power of the platform to prepare for value-based care

Today, healthcare organizations are leveraging advanced data analytics, financial planning, and performance tools to gain a more comprehensive understanding of their costs.

To prepare for value-based care, healthcare organizations will need to understand the full cost of care across the continuum, patient populations, and care pathways.

Using StrataJazz®, providers are able to leverage data analytics and advanced modeling to gain a comprehensive view of the cost of care across patient cohorts, hospital and physician encounters, and the continuum of care.

Preparing for Value-Based Care

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Understand the true cost of care

Track financial performance within an episode of care to evaluate if a bundled payment agreement is profitable for your organization.

Easily visualize the utilization and cost of a patient cohort over a common time scale and across the continuum.

Analyze the downstream impact of low-margin investments on your overall health system.

Define “patient episodes” using trigger events, episode time frames, and complex inclusion and exclusion criteria for the episode.

Monitor patient cohort performance using standard, user-defined metrics.

Link hospital and physician encounters together over time for a high-level analysis of patient care and cost across the patient’s care pathway.