Advisers must guide employers to the right solutions partner who can help them evaluate the best care based on reliable population health data.
The rise of value-based care models, including value-based insurance and value-based reimbursement, has been inevitable as employers strive to find innovative strategies that enable them to offer quality, cost-effective healthcare benefits.
Value-based insurance relies upon financial incentives to promote cost efficient healthcare services, enabling health benefit plans to reduce barriers to maintaining and improving health. At the same time, value-based reimbursement requires providers to track and report a host of adverse events and population health measures, including biometrics, patient engagement, and other measures to demonstrate quality performance.
Unlike the traditional fee-for-service model, the emerging value-based care paradigm demands credible data to enable providers to effectively measure quality, determine the overall health of the population, and report outcomes to payers, as well as plan sponsors to demonstrate improvement.