Value-based Healthcare Del & Pay Models

Health care systems in the US and around the world are pursuing value-based health care (VBHC) reforms that seek to achieve the Triple Aim, now the Quadruple Aim of better care for individuals, better health for populations, lower cost of care per capita and improving the clinician experience. In VBHC, health care payers and purchasers hold health care providers accountable for delivering high-quality care and spending health care dollars more wisely. VBHC delivery models include Accountable Care Organizations (ACOs), Integrated Delivery Networks (IDNs), Clinically Integrated Networks (CINs) and other models. These systems which can be composed of hospitals, doctors, and other health care providers or subsets of these, share financial and clinical responsibility for providing coordinated care to patient populations in hopes of limiting unnecessary spending and improving outcomes. Payment models will be covered from quality-based fee-for-service to global capitation.