Population Health and Value-Based Care
Understanding Healthcare Value
Healthcare “value” is consistent with the “Quadruple Aim” which is focused on four key goals:
- Better Outcomes
- Improved Patient Experience
- Improved Clinician Experience
- Lower Costs
Care that achieves these goals is “High-Value Care.” Because the role of primary care is critical to the health and well-being of every patient population, High-Value Care is most often achieved when primary care providers and their care teams are at the center of patient care.
What Is Population Health?
Population Health focuses on the health of a group of people, as well as considering the health of individuals. To provide High-Value Care, we need to understand patients as a population. We do this by considering their needs, characteristics and behaviors as a group, and understanding the trends, patterns and disparities within this group. Importantly, this also involves being accountable for a patient population over time and across the care continuum.
Effective Population Health Management centers on a whole-person, team-based approach to primary care. While the traditional fee-for-service model typically reacts to illness and injury, the Tandigm network focuses on proactive, preventive care. This approach utilizes analytics, technologies, and proven processes to help providers gain a deeper and more holistic understanding of their patients across the care continuum, enabling evidence-based, high-value decisions to improve patient care and achieve the Quadruple Aim.
What Is Value-Based Care?
Value-Based Care supports population health by focusing on quality, provider performance and the patient experience. Providers are rewarded for delivering results tied to the Quadruple Aim or High-Value Care: better outcomes, improved patient and clinician experience, and more efficient costs.
The Value-Based Care model incentivizes practices and delivery systems to build Population Health Management capabilities to meet or exceed quality performance measures and patient experience targets that are directly associated with achieving these goals. This contrasts with traditional fee-for-service payment models that pay providers based on the volume of services delivered, with no financial incentive to improve quality or lower costs.
Putting It All Together
We proudly stand as a dedicated partner in achieving healthcare value. Together, Population Health Management as a clinical approach and Value-Based Care as a driver of performance form the foundation for achieving the Quadruple Aim. We successfully partner with primary care practices and delivery systems to achieve these goals.
Our technology solutions provide practices and delivery systems with actionable insights to support their workflow operations and patient care. Through an array of population health management techniques, clinical overlay services, informatics and analysis, as well as robust financial incentives, we are partnering with our network members to drive healthcare transformation.
Importantly, 30% of the Tandigm workforce is clinical, represented by physician leaders, nurse practitioners, RNs and other clinical specialists. This enables us to deliver programming on critical health topics such as fall preventions and medication management, and truly serve as an extension of our provider offices to better support patient care.
Population Health is at the forefront of our national health landscape. Step by step, this approach to healthcare works to improve health outcomes and reduce care delivery costs.
Savings of Value-Based Care Patients Compared to Original Medicare
Physicians Participating in Value-Based Models
CMS 2030 goal of Medicare beneficiaries in Value-Based Care programs