Engaging Specialists In Accountable Care: Tailoring Payment Models Based On Specialties And Practice Contexts

The cornerstone of value-based healthcare lies in Accountable Care Models, crucial for comprehensive, high-quality patient care. Despite their pivotal role, specialty care providers face limited engagement in these models. Addressing this requires tailored strategies reflecting three main specialties: whole-person, acute episodic, and longitudinal/chronic care. Each demands distinct approaches for engagement and payment. Whole-person care models, like those for advanced kidney disease, display quality enhancements. Acute episodic care focuses on discrete interventions with episode-based payments, while longitudinal care, vital for chronic conditions, lacks robust payment models. Tailoring strategies for diverse specialty types within Accountable Care Organizations (ACOs) is essential for successful engagement and effective patient care across specialties.

Medigy Insights

The essence of value-based healthcare lies in Accountable Care Models (ACMs) that strive for comprehensive, high-quality patient care. However, specialty care providers remain insufficiently engaged in these models. Addressing this requires tailored strategies across three distinct specialties: whole-person, acute episodic, and longitudinal/chronic care. Each specialty demands unique approaches for engagement and payment models. While whole-person care demonstrates success in specialized models like those for advanced kidney disease, acute episodic care centers on discrete interventions with episode-based payments. Longitudinal care, crucial for chronic conditions, lacks well-developed payment models. Tailoring strategies for diverse specialty types within Accountable Care Organizations (ACOs) is crucial for effective patient care.


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