Value-based care, ACOs, Fee For Service, Total Cost of Care--buzzwords or business critical knowledge?
If you're an employer ready to take back control of your second largest expense--healthcare coverage--while providing high-quality care to lower retention and boost productivity, then it's the latter.
Healthcare benefit costs are eating away at your margins and your employee's raises. The articles below provide the healthcare industry knowledge required to give accesss to more quality care to your employees while paying less (and why you weren't invited to your healthcoverage benefit cost negotiations by your large, national carrier).
The only sustainable solution for healthcare benefits that provides savings year-over-year while improving employee health outcomes long-term is a self-insured, value-based care health plan.
Read the articles below to better lead your company to a sustainable, high-quality benefit solution.
“Value-based care” (VBC) and “fee-for-service” (FFS) are key terms for self-insured employers seeking financial control over annually increasing employee health benefit costs. VBC is a viable, long-term solution to the healthcare system’s cost and service inefficiencies. It’s critical for employers to become familiar with these terms and how VBC can impact them, their employees, and their bottom line: click here.
Capitation, Fee For Service, and PMPM work together to in a well-designed plan to protect your profits through savings year over year--or burn through them. Read the details here.
You understand the financial perils of the Fee-For-Service (FFS) model, you know pharmacists are qualified to aid employees along their healthcare journey (though underutilized), and you regularly share articles about the power of value-based care to lower healthcare costs for you and your employees while improving their health outcomes over time on LinkedIn. (Catch up on these concepts and more, here.) While each of these is a critical part of a benefits plan that gives financial control back to your company, inappropriate healthcare must be addressed for long-term health improvements for employees and maximum savings for employers. Read more.
It’s necessary to work inside of an ACO model to lower the Totoal Cost of Care (TCOC) because this model brings alignment between primary care, specialists, and often hospital systems. The coordinated structure provides the platform for achieving this goal. Read more.
Value-based care can come in the form of more than one model, like capitation. Making the most prudent financial decisions requires knowing the differences in their incentives. Read more.
Creating sustainable, timely care delivery models designed to help patients achieve improved health outcomes is a challenge. The complex, chronic conditions of America’s workforce are driving the need for these models forcing employers into the position of leading health care delivery innovation to retain top talent and remain profitable.
In Part 1 of a three-part series: The Illusion of Choice in Health Care Negotiations, we delve into how the major insurance carriers build their broad provider networks, how those agreements mislead buyers, health coverage negotiations and the impact they have on premiums, quality of care, out-of-pocket costs, and what you can do to protect your bottom line. Read more.