Optimize Results With Value-Based Care

Value-based care is here to stay. With all eyes on the transition to value and more revenue at risk, providers must find ways to improve performance and participate in alternative payment models.

You can make your participation in at-risk reimbursement programs seamless with a solid data and analytics infrastructure. The right solution will deliver meaningful insights that help you improve performance and succeed in value-based programs.

Succeed in Risk-Based Reimbursement

Simply switching from fee-for-service to value-based payment models doesn’t guarantee performance improvement. To succeed, physician and provider organizations need to focus on consistently delivering high-value care. This is easily achievable with the right tools, measurements, and insights.

Define What Success Looks Like

To achieve performance improvement, you first need to define your goals. With the definition of value-based success in mind, you can then pull together relevant data from many sources in one place to produce reliable insights for decision making.

Optimize Performance With Trusted Data

Making real progress toward value-based care requires clinician engagement. You need their trust in reports that are clinically relevant, valid, and timely. Trusted and transparent reports help facilitate fair comparisons that catapult performance improvement.

Deliver Higher-Quality Care

When you have insights you and others trust, you can make informed decisions that lead to quality improvement and cost-savings. Plus, with predictive analytics, you can forecast the optimal care path for specific patients and populations, unlocking more value.

Analytics Technology for Value-Based Care

Succeeding with value-based care requires more than dashboards and data. You need to glean meaningful performance insights that engage your clinician and patient communities, drive results, and deliver the value you need. We transform data into real-world evidence so you can:

  • Manage and optimize clinical and financial performance to mitigate risk under value-based payment models.
  • Measure physician performance in a credible, clinically-meaningful, and timely manner.
  • Monitor, evaluate, and manage the complete cost and quality of episodes of care.
  • Reduce variation in acute care costs and understand drivers of post-acute costs.
  • Enable predictive analytics and drive real-time interventions.
  • Participate in mandatory quality reporting programs such as the Merit-based Incentive Payment System (MIPS).
Customer Results

Unlocking Real-World Value

Sound Physicians is the largest hospitalist and critical care group in the United States. Sound focuses on value-based payment models such as the Bundled Payment for Care Improvement–Advanced (BPCI-A) program. Sound relies on SoundPredict, a predictive analytic engine powered by ArborMetrix. This engine leverages rich clinical information from Sound’s 3,500+ clinicians, and helps Sound:

Predict the likelihood of readmission, program eligibility, and other condition-specific factors.

Determine which patients receive certain interventions such as tele-SNF encounters.

Reduce the predicted at-risk population by 17.5%, which decreases costs and improves outcomes.

healthcare leaders trust arbormetrix
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"ArborMetrix provides us with reliable, data-driven insights to clinical and financial performance of our programs, including our performance in value-based programs such as BPCI-A. Their ability to integrate multiple data sources and visualize results has changed the game for us – really boosting our confidence to both accurately evaluate risk and drive increased effectiveness in our clinical operations."

Jess Parks
President, Sound Physicians
FAQ

What Is Value-based Care and Why Does It Matter?

Value-based care is an umbrella term for a suite of programs administered through the Centers for Medicare and Medicaid Services (CMS) and other payers. Simply put, value-based reimbursement programs offer healthcare providers financial incentives to improve the quality of the care they provide to patients.

Previously, the healthcare system relied on fee-for-service (FFS) payment models, which incentivized increased care quantity. Value-based care is an important initiative to reform the healthcare system and shift the focus from care quantity to improving the quality of care for individuals and populations. The shift to value can ultimately reduce healthcare costs and improve quality for all.

Succeeding in value-based programs is only possible with the right tools to capture, measure, and analyze large amounts of patient data. Healthcare analytics platforms make the transition to value-based care as seamless as possible.

Learn more about how clinical data registries deliver value.

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