Understanding Value-Based Care
Value-based care encompasses a spectrum of healthcare delivery models that are designed to shift financial incentives away from high-volume care and toward high-value care — the right care delivered at the right time and at the right place. It holds providers accountable for the cost and quality of care while giving them greater flexibility to meet their patients’ needs. This site provides access to a growing archive of materials about value-based care. We invite you to explore.
Overuse: Why it Happens and Its Consequences
Podcast episode discussing why overuse happens and the toll it takes on patients, quality and cost containment.
CMS Innovation Center Strategy
How the Center for Medicaid and Medicare Innovation (CMMI) plans to address the concepts of health equity, care innovation, access and system transformation.
Alternative Payment Models: Infographics
Series of infographics describing the penetration of Alternative Payment Models (e.g. value based care models) in the health care insurance market.
Health System Perspective on Payment Models: Jen Moore
11-minute podcast episode featuring Jen Moore, VP of Payer Relations and Payment Innovation at MaineHealth and President, MaineHealth ACO. Source: Becker's Healthcare Podcast.
The Fundamental Shift to Value-Based Care
A series of videos for healthcare providers that introduces the key ideas and concepts behind value-based care.
Health Equity: CMS Progress 2023
News article on progress CMS is making on reaching its health equity goals.
Results of a Primary Care Capitation Pilot
Academic article on the quality and financial results of the Population-Based Payments for Primary Care program in Hawaii
2022 MSSP Savings to Medicare
MSSP saves Medicare $1.8 billion in 2022.
Concept Cheat Sheets
Brief overviews of key value-based care concepts from the Advisory Board. May require subscription to view. [...]
Value-Based Care Spotlight
Website describing basic concepts and telling stories of patients who have benefited from value-based care. Source: [...]
Key VBC Models and Terms
Webpage with definitions of key value-based care terms and descriptions of several payment models. Source: National [...]
AWVs: Unique Patient-First Appointments
MaineHealth ACO newsletter story on techniques physicians are using to more easily incorporate AWVs into their daily workflow.
Precise Clinical Documentation: Benefits
MaineHealth ACO newsletter story on techniques physicians are using to more easily incorporate AWVs into their daily workflow.
Value-Based Care Patient Stories from Around the U.S.
11 value-based care patient stories collected in the "Real-life Impact" section of the valuebasedcare.org website. Source: [...]
Prospective Payment for Primary Care: Issue Brief
20-page issue brief discussing models designed to support primary care, including primary care capitation, global budgets [...]
Value-Based Care Transforms Health
3-page explainer from value-based care advocacy group. Source: Alliance for Value-Based Patient Care. Date: 2023 View [...]
Value-Based Care: Physician FAQs
FAQ document created for physicians and APPs participating in the MaineHealth ACO. It covers basic queries [...]
Understanding Medicare Advantage Star Ratings
One page explanation of the star rating system created by CMS to rank Medicare Advantage plans. [...]
