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It takes a village. Moving toward value-based care (VBC) in the U.S. healthcare system requires engagement and cooperation from multiple players. Stakeholders include accountable care organizations, social service and community-based organizations, multiple payers, and a range of providers. Ideally, these groups and individuals work seamlessly together to create multiple policies and payment strategies inherent to VBC success.
When a village grows over time into a small city, the infrastructure must grow along with it; otherwise, major obstacles and issues arise. The same holds true with VBC collaborations – as they grow and become more complex, so too must the IT systems that support them.
Beyond just a greater number of stakeholders, VBC models require far more data generation and data exchanges to manage contracts than previous fee-for-service (FFS) ones. They also require more optimized data to meet various reporting requirements, improve collaboration, account for Social Determinants of Hhealth (SDoH), and address other factors relevant to optimizing care coordination.