Preparing your practice for value-based care Make the shift to value-based care and benefit both your practice and your patients

What is value-based care? Value Based Care is a care model intended to at least partially link payments to patients’ health outcomes and/or quality of care, unlike traditional fee-for-service care models.

By partnering and establishing trusting relationships with patients, caregivers, providers, and community partners, [we] are able to improve quality of life, satisfaction with care and reduce unnecessary spending. “ ” Dr. Edgar Maldonado, Physician Cornerstone Personalized Life Care Clinic, High Point, NC embed video

The impact value-based care can have on your patients and practice  More engaged patient population  Improved health outcomes Greater satisfaction with physician-patient relationship Practice  Better outcomes  Greater satisfaction with physician-patient relationship  Better reimbursement  Cost Savings

Cost savings opportunities when using value-based care Small font?

Five steps to prepare for value-based care 1 Identify your patient population and opportunity 2 Design the care model 3 Partner for success

Five steps to prepare for value-based care 4 Drive appropriate utilization 5 Quantify impact and continuously improve

How is it working in other practices? High Point, NC Steps in Practice Summary – Cornerstone Health Care in High Point, NC Cornerstone Health Care, a multispecialty group in the triad region of NC, began implementing value-based care in 2012 VBC model first implemented in a specialized heart clinic – designed to address 20% of sickest CHF patients Care model utilizes a team of 3 internists, embedded behavioral health provider, embedded pharmacy services, health navigator & nutritionist Model started out as a separate clinic managed by a nurse practitioner that thrived on referrals from cardiologists and primary care providers – the idea was to manage patient care outside of office visit Two barriers from initial implementation model: Internal referrals meant transferring care to the heart function clinic from the traditional office practice – physicians saw it as a sign of “giving up” on patients rather than co-managing care Additional copays required at clinic for each billable service – led to unwanted patient follow up VBC has led to astounding savings achieved on a per-patient basis – led by reduced hospitalizations Downside, a certain enrollment # needed to offset operational costs Multiple reasons led to struggles of reaching needed enrollment # Workflow redesign is in process to tackle the enrollment issues 3 years post-implementation, a per-patient cost of care savings of $5,500 and overall cost of care savings of $1.7 million for the 321 patients enrolled Critical Factor for cost savings: reduction in hospital admissions due to improved outpatient management Today, Cornerstone has 6 specific care models to address the most vulnerable patient populations $3,000 per patient savings and over $6 million in total savings on 461 patients 43% increase in patient and provider satisfaction Quality score of 94 percent (6th in the nation)

For additional resources, frequently asked questions and implementation support, visit www.stepsforward.org!