Essay Available:
Pages:
1 pages/≈275 words
Sources:
2
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 5.22
Topic:
Discussion 8.1: Value Versus Volume Purchase and Design
Essay Instructions:
Directions
Reflect on this week’s required readings on value-based insurance design and purchasing. In your initial post, discuss the following in five well-developed paragraphs:
What are the key differences between fee-for-service and value-based payment arrangements for patients and providers? Which presents more opportunity for quality financial improvement?
What capabilities are required for community-based health systems to succeed with value-based contracting?
Compare and contrast the choices to engage employed physicians versus affiliated physicians in transitioning from fee-for-service to value-based care arrangements.
What are some of the challenges that health systems face when caring for people with both fee-for-service and value-based payment arrangements?
Discuss one of the cases presented in Chapter 14 in terms of its relevance to value-based design.
Essay Sample Content Preview:
Value Versus Volume Purchase and Design
Student’s Name
Institution
Course Code: Course Name
Professor’s Name
Submission Date
Fee-for-service (FFS) and value-based payment (VBP) represent two philosophies: one that focuses on volume and the other on value. FFS reimburses providers for every procedure or consults performed without regard to the quality of care provided or the outcomes of patients. On the other hand, VBP bases compensation on the quality and efficiency of care delivered, aiming at improving patient outcomes while controlling costs. While FFS creates an incentive to utilize more services, VBP incentivizes prevention, coordination, and efficient use of resources (MacGillivray, 2020). VBP holds more significant potential for financial increase because it aligns provider incentives with cost savings and enhanced quality, from which considerable financial benefits may result through systems of shared savings or value risk-based contracts.
Some of the key competencies that are required to practice VBP include robust data analytics for performance tracking and patient outcomes, infrastructure in care coordination to manage diseases effectively, evidence-based clinical protocols to standardize how care is delivered, investments in health IT systems, and electronic medical records (EMRs), among others, for population health management (MacGillivray, 2020). These systems support risk adjustment, patient engagement, and timely decision-making. Moreover, the continued nurturing of interdisciplinary teamwork a...
Get the Whole Paper!
Not exactly what you need?
Do you need a custom essay? Order right now: