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Value-based care, the care delivery and reimbursement reform movement that emphasizes outcomes over volume of services rendered, could not be successful without strong and meaningful patient engagement.
Defined by the Centers for Medicare & Medicaid Services as programs that “reward health care providers with incentive payments for the quality of care they give to people with Medicare,” value-based care success relies on positive patient outcomes.
And although positive outcomes do rely heavily on clinical decision-making, it would be nearly impossible for healthcare providers to hit the clinical quality metrics needed for value-based care success without strong patient engagement.
After all, the entire point of value-based care is to achieve the best outcomes possible at the lowest cost possible. In most cases, that is going to mean stemming the upstream factors that lead to high-cost and high-acuity care.
And to achieve that, organizations need to engage patients in preventive care, or when chronic illness does occur, strong chronic disease management. Meanwhile, achieving good patient satisfaction scores—which are part of value-based care clinical quality measures—will be key.
Provider organizations need to fulfill those goals across all patient populations, including traditionally marginalized groups, many of which are at high-risk for some of the chronic illnesses that so often result in high costs.