2.5x save 3 successful medicare · 4. “reducing long-term cost by transforming primary care:...
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MOVING TO VALUE-BASED CAREFOR BETTER HEALTH AND BETTER BUSINESS
U.S. spends1 40% more than next biggest spender
40%
HEALTH CARE COSTS ARE HIGH –
VALUE IS LOW
HEALTH CARE IS SHIFTING
FROM FEE-FOR-SERVICE
TO FEE-FOR-VALUE
U.S. spends1 2.5x other countries
2.5X
•Bettercarequalitywitharenewedfocusonquality,notquantity
•Improvedaffordabilitybased on a more efficient structure
•Highersatisfaction witharecommitment to the patient
• Increasedeconomicopportunitieswith 6%–8%savingsinincentivesandgrowth4
• Improvedprovidersatisfaction–11%increase insatisfactionfor providersinavalue-basedrelationship5
1/3 ofhealthcarecostsarewaste2
$210B inunnecessarycare3
$55M onmissedpreventionopportunities3
$130B oninefficientdelivery 3
By20187
ofFee-for-Service Medicarepaymentstied toalternativepaymentmodelslikeaccountable care organizations
ofpaymentstiedto value-basedarrangements
SuccessfulMedicareSharedSavingsPrograms
AND GET YOU WHERE YOU WANT TO BE
WE MEET YOU WHERE YOU ARE
CMS IS PUSHING
THE CHANGE
GOOD FOR
PROVIDERSSAVE 3%
50%90%
PROVIDER ENGAGEMENTIncreaseengagementwithyourphysicianstohelpthemapproachtransformationwithenergyandenthusiasm,whileremainingdedicatedtotheirpatientsandtrulycommittedtotheimprovementofyourorganizations.
CLINICAL OPERATIONS Wehelphealthcareprovidersevolveandtransformtheirclinicaloperationstoimprovequalityandreducecosts,takingavalue-basedapproachthatisengaging and inspiring.
SUPPORT SERVICESGiveyourphysiciansabroadrangeofcapabilities,breakingdownbandwidthbarriersandleveragingbestpracticesacrossyourorganization.
1. OECD (2015), Health at a Glance 2015: OECD Indicators, OECD Publishing, Paris. http://dx.doi.org/10.1787/health_glance-2015-en2. Health Affairs & Robert Wood Johnson Foundation, health policy brief, “Reducing the Waste in Health Care,” December 20123. Annie Lowrey, “Study of U.S. Health Care System Finds Both Waste and Opportunity to Improve,” New York Times, September 11, 2012
http://www.nytimes.com/2012/09/12/health/policy/waste-and-promise-seen-in-us-health-care-system.html?_r=04. “Reducing Long-Term Cost by Transforming Primary Care: Evidence from Geisinger’s Medical Home Model”, American Journal of Managed Care, March 2012, 18(3):149–55; R. J. Reid, et al., 5. Cigna National Physician Satisfaction Survey 2014 6. Center for Medicare, Shared Savings and Losses and Assignment Methodology, December 20147. Presentation by Center for Clinical Standards and Quality, HIMPS, April 2016
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COLLABORATION WITH DOCTORS IN THE FIELD – relationships trump technology
KEYS TO SUCCESS
CareAllies.com
or more6
OUR COLLABORATION AND ENGAGEMENT
FINANCIAL TRANSPARENCY – builds trust, accountability and engagement
BIDIRECTIONAL FLOW OF INFORMATION – ensures doctors have a voice
GOOD FOR
PATIENTS