The Role of Value-Based Care in Times of Crisis

Presented By

Oraida Roman

Vice President, Value-Based Strategies
Humana

Andrew Renda, MD

Vice President, Population Health
Humana
About the Session

The revenue stream for many medical practices across the country dried up during the coronavirus pandemic, forcing some to lay off staff and limit services. Hospitals, for instance, estimate that canceled surgeries in the early months of the outbreak amounted to $200 billion in losses. Those in value-based agreements, meanwhile, remained financially afloat.

While practices in traditional fee-for-service settings were unable to generate income from profitable elective surgeries and preventive services, those in value-based arrangements benefited from regular payments from patients’ insurance premiums that they receive from payers as part of their decisions to take on more responsibility for the well-being of their patients.

More importantly, their investment in the care-delivery model that focuses on quality over quantity of care through integrated and coordinated management provided value-based physicians with a holistic view of the patients’ situations.

Learning Objectives:

  • Describe how physician practices in value-based care arrangements position themselves for long-term sustainability and growth.
  • Leverage the best practices of providers that have overcome technological and strategic obstacles to succeed in value-based payment arrangements.

Categories