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Value-based care certainly presents challenges, but analytics likewise presents opportunities for the healthcare industry to get there. Organizations serving those in rural and underserved areas can learn lessons from urban, academic or integrated healthcare delivery systems.
For example:
- As Yale New Haven Health System and Intermountain Healthcare demonstrated, payers and providers can find success through episode analytics, which identifies the episodes of care best suited for bundled payments. As FierceHealthPayer previously reported, bundled payments represent a small but growing component of value-based care.
- Meanwhile, data transparency can help accountable care organizations cut costs, as physicians start to see how much patients will have to pay for the care they recommend. That was the lesson for the Texoma accountable care organization in the city of Wichita Falls, Texas.
- Finally, analytics helps providers identify care gaps and reach out to patients with chronic conditions whose health may worsen if they do not come in for a checkup. This especially pertains to organizations who serve Medicare beneficiaries, the majority of whom have multiple chronic conditions and receive care from multiple physicians.
"The world has changed" since the Department of Health and Human Services announced its shift to an increasingly value-based Medicare payment model, said Lynn Barr, chief transformation officer with the National Rural Accountable Care Organization (NRACO). "We're excited but slightly terrified."
Related Articles:
Episode analytics key to value-based success
How payers, providers make bundled payments work [Special Report]
Texoma ACO uses data analytics to save costs in MSSP
For ACO success, take a deep dive into the data
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See how analytics can work for you