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.
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. [...]
Medicare Advantage: Confronting Concerns
Physicians discuss the ethical implications of participating in Medicare Advantage plans, many of which have manipulated [...]
Clinical Documentation Guidance
Website featuring diagnostic coding guides for specialists ("Coding Cards") and for specific diseases and conditions ("Basics [...]
Condition-by-Condition Diagnostic Coding Guide Intro
Podcast segment introducing "Basics and Beyond" guides that provide disease-specific diagnostic coding tips.
Making Annual Wellness Visits Work
MaineHealth ACO newsletter story on techniques physicians are using to more easily incorporate AWVs into their daily workflow.
Unwarranted Care Variation Reduction and Cost Savings
MaineHealth executives discuss the cost savings that can be generated by reduction of unwarranted care variation.
What is Value Based Healthcare?
NEJM article exploring definitions, benefits and examples of value-based care.
Medicare Advantage Star Ratings: A Deep Dive
Podcast segment discussing Medicare Advantage star ratings
Clinical Documentation Guides for Specialists
Podcast segment introducing "coding cards" for specialty providers.
Bundled Payments: Medicare’s BPCI Program
An explanation of "bundled payments," a value-based care model for covering episodes of care.
One Health System’s Value-based Care Strategy
Leaders from MaineHealth discuss the advantages of value-based care payment over fee-for-service and describe the strategies they're deploying to succeed in value-based care
Using Shared Savings to Fund Innovative Projects
How one accountable care organization uses a portion of its revenue from value-based care contracts to fund innovative projects among its participants.
Tracking Quality Performance
Using a quality "heat map" to track progress on clinical quality targets.
“Getting Warmer” Report
MHACO newsletter story draft on study showing link between VBC and cost increase slowing
Coding Tips from a Frontline Physician
A frontline primary care doc shares diagnostic coding tips