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  • Value-Based Care

The healthcare industry is evolving right before our eyes. It’s no longer running primarily on the old fee-for-service incentive models and is making the switch to the much more efficient, value-based care model. In this new value-based care model, the emphasis is placed on quality of care and patient satisfaction. If healthcare organizations hope to thrive in this new world, they need to have a robust outcome improvement program in place.

You’re looking to ramp up your outcomes improvement efforts and you know that it takes a serious commitment. You’ll need to allocate human, operational, and financial resources to the cause. Such a commitment would have to bring about a return on the investment that was well worth the effort, and this can only be done by avoiding and mitigating the potential roadblocks and pitfalls along the way that may derail such efforts.

As the healthcare industry makes the long, challenging transition from fee-for-service models to value-based care, some health care providers and organizations are naturally going to feel intimidated by the journey ahead. Value-based care, after all, offers no profit guarantees, and it requires some potentially daunting new techniques to be learned and tactics to be used.

With the Centers for Medicare and Medicaid Services’ (CMS) MACRA Quality Payment Program and its associated MIPS track moving into high gear, it’s no surprise that the use of a CMS-approved Qualified Registry (QR) is catching on among clinicians, providers, and health systems. A QR is a tool by which data is easily submitted to CMS for evaluation and annual bonus consideration.