Value Based Care

A healthcare delivery model that prioritizes improving patient outcomes and experiences while managing costs, shifting the focus from volume-based services to quality-driven and efficient care.

 

Quality Measures:

Metrics and indicators used to assess the effectiveness, safety, and overall quality of healthcare services provided within a value-based care framework.

 

Patient-Centered Medical Home (PCMH):

A primary care model within value-based care that emphasizes comprehensive, coordinated, and patient-centric services, often involving a team-based approach to healthcare.

 

Accountable Care Organization (ACO):

A group of healthcare providers and organizations that collaboratively assume responsibility for the quality and cost of care for a defined patient population, promoting value-based care principles.

 

Population Health Management:

The proactive management and improvement of the health outcomes of a defined group of individuals, often utilizing data-driven strategies within a value-based care framework.

 

Risk Stratification:

The process of categorizing individuals within a patient population based on their health risks and needs, enabling targeted interventions and resource allocation.

 

Episode of Care:

The complete cycle of care for a specific medical condition or procedure, from initial diagnosis through treatment and follow-up, often used as a basis for value-based care reimbursement.

 

Health Information Exchange (HIE):

The electronic sharing of patient health information among different healthcare providers, facilitating coordinated and value-driven care.

 

Pay for Performance (P4P):

A reimbursement model within value-based care where healthcare providers receive financial incentives or penalties based on the quality and outcomes of care delivered.

 

Triple Aim:

A framework within value-based care that aims to improve patient experience, enhance population health, and reduce per capita healthcare costs simultaneously.