Health plans and providers have invested mightily in value-based care capabilities over the last decade with a particular emphasis on primary care and reducing hospital admissions. Yet, even the most successful value-based care organizations will still have hospital admission rates of anywhere from 100 to 200 admits per thousand members. With 50% of Medicare spending happening in the acute episode of care initiated by that admission, a holistic approach must look beyond primary care interventions to the other major drivers of cost and quality.
Key learning points:
- How a comprehensive value-based care strategy that extends into the acute episode of care can complement a primary care strategy
- Sound’s lessons from managing $10 billion in at-risk spending
- Five operational principles that create reproducible results
- Sound’s perspective on the future of value-based care