The unintended consequences of VBC
The intent to move from fee-for-service to value-based care (VBC) was a step in the right direction. However, the impact of better patient outcomes from VBC is underwhelming. The small degree of improvement has come at an exponential cost to providers. What happened?
Outcomes-based programs were stood up quickly across all areas, including risk and quality. Providers found themselves with a tsunami of data and analytics but no playbook. Enter interoperability that put data in the EHR but did not consider the patient’s full history.
Today, health plans chase funding models. They see risk, quality measurement and disease management as three distinct areas of business programs. People and technology are needed to facilitate the exchange of risk and quality data to unify provider and health plan systems.
How Optum goes beyond risk and quality
We go beyond by enabling you to connect your risk and quality programs into a unified outcomes initiative to help decrease provider burden and increase improved patient health outcomes.
Optum synthesizes risk and quality programs by leveraging our unique synchronization platform to create a unified plan. It considers the provider's patient population and workflow to determine the best method to deliver data in the provider workflow at the point of care.
The result? Optum helps health plans obtain coding accuracy while enabling providers to deliver better patient outcomes. Effective provider engagement supports better outcomes. Better outcomes help deliver reimbursement accuracy for the health plan.