Healthcare Revenue Recharge Episode 6 Value-Based Care

This document is a guide on Value-Based Care presented in the Healthcare Revenue Recharge webinar series by PYA. It outlines the various categories of value-based care, including fee-for-service models linked to quality and value, and population-based payments. The guide discusses the growing pressure on healthcare costs, highlighting that 87% of executive decision-makers believe costs will become unsustainable within the next 5 to 10 years. It also addresses payer responses, noting that purchasers often feel limited in their options to control costs and lack awareness of value-based payment opportunities. Additionally, the document presents typical payer strategies that impact providers, such as negotiating price concessions and imposing utilization controls. It concludes by suggesting that providers should develop competencies to succeed under new payment models and incorporate shared savings models in payer contracts to align incentives and protect health system margins.