The Healthcare Model is Shifting from Fees to Value. Here’s What You Need to Know
Value-based healthcare is changing the game for how care is provided.
Heavy volume, fee-based models for care are out. Insurers are beginning to reimburse physicians based on the quality of care they provide, not just the amount of patients they see. For patients and providers, it means more focused and successful care, ultimately creating better outcomes.
With clinicians now incentivized to be both more efficient and more effective, improved data analytics and technological capacity are at the forefront of improving care at the provider level. It also enables preventive care—which in our opinion, is the next step in treating behavioral health issues.
A key facet of value-based care is its promotion of sharing data, according to the Centers for Medicare and Medicaid Services. A team-oriented approach avoids unnecessary costs or other externalities that eat away at the physical and financial benefits of treatment. It’s one of those win-win situations for all stakeholders, provided it’s enabled properly.
Here’s what the CMS has to say about value-based care:
In value-based care, doctors and other health care providers work together to manage a person’s overall health, while considering an individual’s personal health goals. For example, doctors might coordinate an individual’s blood work so that they only need to go into the clinic once. This approach to care also can help people avoid the emergency department and keep them out of the hospital.
Medicare and Medicaid have bought into the VBC model, running pilot programs through the CMS Innovation Center to determine the most effective approaches to this type of care.
Here’s how MHT enables (and improves) VBC models:
First of all, we automate the entire screening process for mental health and substance use disorders.
MHT's patented SmarTest™️ platform tracks both patient and provider progress and outcomes (and of course, is HIPAA-compliant). For clinic managers, MHT increases the per-visit coding for revenue and automatically bills insurers.
From a prevention standpoint, MHT helps reduce ER visits by automatically referring individuals to an appropriate behavioral health specialist and notifies clinicians of at-risk individuals. Through machine learning, we can uncover comorbid behavioral health and substance use conditions, what we see as a breakthrough in mental healthcare.
Testing can be done at-home or in-office from the convenience of a mobile phone or tablet. We’ll send patients assessments, upload results into your EHR, notify you of high-risk answers and make referrals on your behalf. MHT also tracks and uploads subsequent test results performed by referred specialists.
To learn more about how the MHT service works, contact us here, today.
Resources:
1.https://www.foreseemed.com/value-based-care
2.https://www.mhtech.com/blog/providing-patients-with-the-best-outcomes-a-continuum-of-care-for-behavioral-health-in-the-united-states
3.https://www.cms.gov/priorities/innovation/key-concepts/value-based-care