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

2. 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.

3. 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
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4. 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

5. Cost savings opportunities when using value-based care
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6. Five steps to prepare for value-based care1
Identify your patient population and opportunity 2
Design the care model 3
Partner for success

7. Five steps to prepare for value-based care4
Drive appropriate utilization 5
Quantify impact and continuously improve

8. 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)

9. For additional resources, frequently asked questions and implementation support, visit