Unlocking the Future of Value-Based Care With Data

RevCycleIntelligence.com

Megan Reyna, a system VP at Advocate Health, shares how to overcome barriers to value-based care adoption and the critical role of technology.

October 16, 2023 - Advocate Health is a value-based care leader. More than 2.4 million lives are covered by the health system’s value-based care contracts, which include 12 different accountable care organizations (ACOs) and clinically integrated networks (CINs). Moreover, some of those ACOs recently generated $128.2 million in total savings for the Medicare Shared Savings Program, the most in the country among integrated delivery networks.

Advocate has operated in the value-based world — and found success — for nearly two decades through various contracts. Yet, the healthcare industry has just hit the value-based care tipping point. According to the latest data from the Health Care Payment Learning & Action Network, more than half of all healthcare payments (60.5 percent) are tied to some level of quality or value measurement as of 2021. However, very few of those payments (19.6 percent) are linked to accountable care models that incorporate downside financial risk and population-based reimbursement.

Healthcare needs to keep the value-based care momentum going in order to achieve accountable care that delivers improved patient outcomes and cost efficiency. According to Megan Reyna, MSN, RN, system vice president for enterprise population health at Advocate Health, providers will need to harness data to unlock the opportunities still ahead for value-based care.