Alliance Health is Starting Value-Based Payments; Other Tailored Plans to Follow
What is Value Based Care?
Value-Based Care (VBC) is a healthcare delivery model where providers, including behavioral health, I/DD, SUA, and TBI providers, are compensated based on member health outcomes rather than only the volume of services provided. DHHS has identified that this model emphasizes improving the quality of care while controlling costs, ensuring that members receive the most effective care.
Why CINs and CMAs and Why Now?
Over the last 20 years, the US healthcare system has been gradually shifting from episodic accountability (traditional fee-forservice to pay-for performance like this) to total cost accountability.
Care Management Agencies’ ability to coordinate care, help close gaps in service, and leverage data-driven insights is essential to improving outcomes and reducing costs.
What Affects Health Outcomes?
The University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps, 2024.
Based on your goals, we'll co-create a detailed action plan outlining specific strategies, timelines, and resource allocation for achieving your desired outcomes.
Site Visit
Upon your request, we can conduct a site visit to gain a deeper understanding of your workflow, identify potential areas for optimization, and explore opportunities to leverage technology or best practices.
Programs and Initiatives
Working with your coach, you'll select a quality improvement initiative that aligns with your goals and improves patient care. This might involve exploring opportunities for new federal and local programs to further enhance your services. You'll then receive support in developing and implementing the project, along with data collection to measure its impact.
Assessment
You ll complete a comprehensive online assessment that analyzes your current business operations, performance metrics, and areas for improvement and overall compliance status.
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Coaching Guide
You'll receive access to your personalized Coaching Guide – your central hub for all program resources, including action plan details, educational materials, and communication tools for staying connected with your coach.
1:1 Coaching
Throughout the program, you'll engage in regular, personalized coaching sessions with your dedicated coach. These sessions will provide a platform for progress tracking, addressing challenges, refining strategies, and celebrating successes.Your coach will offer ongoing support and accountability as you implement your action plan.
Long-Term Planning 7
You'll collaborate with your coach to define long-term goals for continued success. We'll also explore potential business development opportunities and strategies for ongoing growth.
Coaching Tools
We utilize the following tools to assist you with your journey
MEMBER GUIDE
Coaching Works!
The Journal of Management examined the impact of coaching across various professions. It found that coaching led to improvements in knowledge, skills, and self-efficacy, suggesting potential benefits for behavioral health providers as well.
PROVIDER HUB
ELEMENT UNIVERSITY
The American Hospital Association offers a report titled "Coaching and Technical Assistance for Hospital ValueBased Care" This report highlights a study by The Chartis Group which found that hospitals receiving coaching and technical assistance for implementing bundled payment programs experienced a 12% reduction in total medical expense per episode compared to those without such support.
Element University
ADVANCING PROVIDER PERFORMANCE THROUGH TARGETED LEARNING