From Janine Savage, Division President, Net Health Value-Based Care Solutions
Waiting for value-based care to arrive in post-acute care?
No need to wait any longer. It’s already here.
The future of our industry is being shaped by shifting demographics, evolving regulations, and technology innovations. But perhaps the biggest change of all is that healthcare is being fundamentally transformed by shifting the focus from the quantity of services provided to quality of care and patient outcomes. Value-based care (VBC) is already having an impact in post-acute care, driving changes in care delivery and reimbursement models.
Medicare’s SNF Value-Based Purchasing (VBP) Program links Medicare payments to the quality of care provided in nursing facilities, rewarding and penalizing them based on quality measure performance. Many facilities are participating in alternative payment models (such as bundled payments) and accountable care organizations. Some operators have even started their own Medicare Advantage plans, such as I-SNPs and D-SNPs. Well over half of states have implemented Medicaid value-based payment (VBP) programs, with many more planning to do so or actively exploring the possibility.
There’s no turning back from VBC. In 2021, the Centers for Medicare & Medicaid Services (CMS) announced a “strategy refresh” for its value-based care initiatives, emphasizing equity, innovation, and broader participation in value-based care models. Central to that strategy is the ambitious goal to have all Medicare beneficiaries and most Medicaid beneficiaries in accountable care relationships by 2030.
Introducing Net Health Value-Based Care Solutions
My team and I are at the forefront of Net Health’s initiatives to support this significant evolution in our industry, and we are deeply committed to helping our clients navigate these changes. For over 25 years, “PointRight” has provided solutions and expertise to help clients identify areas of risk, improve reimbursement, and achieve better quality outcomes.
To align with the evolving healthcare landscape, PointRight has become Net Health Value-Based Care Solutions. While our name has changed, our focus remains on providing specialized software solutions, analytics services, and consultative support our clients need – which is more important than ever to succeed in value-based care.
Supporting Your Success
Clients tell us it’s our expertise and support that differentiates us from others. Our team of experienced clinicians and other professionals focus on helping clients understand their outcomes. We empower our clients with the information and support they need to successfully navigate the complexities of VBC, and it gives them the confidence they need to make better decisions.
And as we engage with our clients, we gain valuable insight into what they need to be successful in the rapidly-changing healthcare operational environment. This informs our product roadmap prioritization and the features and solutions we develop.
VBC requires aligned incentives and unprecedented collaboration between providers and payers. Through well-designed VBP programs, we facilitate them working together to achieve better health outcomes, such as reduced hospital readmissions, improved chronic disease management, and enhanced patient satisfaction, with the overall result of achieving better value for the funds spent on care.
Partnering for a More Valuable Future
As a trusted partner, we provide solutions and services to help clients succeed in today’s value-based care initiatives and to best position them for tomorrow’s. We believe that by working together, we can help create a healthcare system that benefits everyone. I’m excited to partner with you on this journey. To learn more about Net Health Value-Based Care Solutions and how we can help your organization succeed in VBC, please email me here: Janine.savage@nethealth.com
Sincerely,
Janine Savage
Division President, Value-Based Care Solutions
