Enhance Collaboration and Create Alignment Among Patients, Providers, Suppliers, and Those Who Pay for Care

Value-based care is a concept that continues to gain traction around the world – it is hard to argue with providing incentives for everyone to do the “right” thing. The mechanisms and specifics of value-based payment models vary, but the basic elements are the same everywhere: agreed upon care standards, incentives to follow them, and measures of success with the goal of improving outcomes and lowering cost.

Whatever your place in the value-based care chain, HealthShare delivers the information you need to succeed:

• Providers have comprehensive information to redesign and manage complex care processes
• Payers have the data to automate and streamline approvals and measurement and to more effectively support provider networks
• Patients have the tools to manage their own health and wellness
• Public health authorities have visibility into health outcomes across a region
• MedTech companies have data to inform outcomes-based contracting

 

 

You may manage high-value care for an entire geographic region, a disease cohort, a membership base, or a patient panel. No matter the size and complexity of the population, HealthShare’s extended decision support capabilities continuously monitor new information. When it finds gaps in care, significant new information, or trends that indicate the need for course correction, it notifies caregivers and patients. Similarly, when medical device data is added to clinical, administrative, and patient-generated information, HealthShare can generate insights that demonstrate how the device is improving outcomes and preventing adverse events.

The success of any value-based care endeavor depends on continuously measuring results and learning where to make improvements in care and processes. With HealthShare and partner solutions, you can

• Measure the quality, outcome, and process of care for each patient relative to best practices
• Apply predictive models to a cohort’s data to identify population members who will benefit most from increased attention
• Use measurements to inform all care team members about best practices and the delivery of personalised, coordinated care for patients and their families
• Expand each individual’s longitudinal record, which further enriches measurement and the total body of evidence for enhancing care

One way that we support your move to value-based care is to help you stay compliant with regulatory programmes, including:

• Medicare Access and CHIP Reauthorization ACT (MACRA) and the Quality Payment Program
  
  • Merit Based Incentive Payment System (MIPS)
  • Advanced Alternative Payment Models
• Alternative Payment Models
  
  • Accountable Care Organisations
  • Bundled Payments
  • Medicare Shared Savings Program
• Promoting Interoperability for Eligible Hospitals
• Office of the National Coordinator (ONC) and Centers for Medicare and Medicaid (CMS) Interoperability Rules