- An overview of the development process for clinical models for VBR
- Contemplating evidence-based treatment plans for consumers with complex needs to ensure measurable outcomes
- Case studies of organizations that have built effective clinical models for VBR
Creating & Managing The Clinical Models You Need For Value Based Reimbursement (VBR)
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While there is no single definition of a value based reimbursement model, there are roughly four types: Pay for performance (P4P), patient-centered medical home, bundled payment, and shared savings/accountable care organization. The common thread for all VBR models is that the consumer is at the center of all care decisions and payment is based on clinical outcomes, not volume of services provided. Consequently, it is imperative that health and human services provider organizations have in place the organizational processes, technology, and talent to accurately report on clinical outcomes. How, by whom, when and where care is delivered is all part of the equation. Documentation of the treatment path from commencement of care to resolution of the condition to ensure outcomes are properly reported also needs to take place.