For a payer, the move from fee-for-service reimbursement to value-based payment can be a painstaking process—and not just for you, but also for the healthcare providers in your networks. But, with the right data and a proven strategy the transition to value-based care can be manageable—and ultimately successful.
3M™ Healthcare Transformation Suite helps healthcare payers implement and manage value-based care and population health programs collaboratively with providers. The suite addresses the core parts of implementing a successful value-based care initiative.
This question was posed by an audience member to speakers at the 3M Value-Based Care Conference. The answers were all “yes,” but not without qualification about how data transparency changes behavior. Precisely, the question was, “Does anybody really believe that putting up a quality score changes referral patterns or makes a patient go someplace different?”
The move to accountable care is ultimately about achieving better health outcomes at lower cost while creating a better experience for the patient. This is the Triple Aim. A narrow view of health focuses on health care, which is understandable in the United States, since a wide range of health-related expenditures are funneled through the medical system.
One of the ongoing debates in health services research concerns the relative merits of using administrative claims data versus electronic health record (EHR) data for research. Should one be preferred over the other? Some question the degree to which administrative claims data continue to be valuable for health services research given the growth of EHR systems.
The 3M℠ Healthcare Transformation Suite combines payment-related methodologies, program design, reporting and analytics tools, and consulting services to support payers with the move from fee-for-service to value-based payment.
3M℠ Program Design and Performance Management combines consulting services, analytics and software tools designed to support organizations through developing and implementing a population health or accountable care program.
The 3M Value Index Score (VIS) is a population-centric value measure that complements existing quality and total cost-of-care (TCC) metrics.
The 3M Strategic Opportunity Analysis (SOA) is a comprehensive examination of health performance at the patient, clinician and system levels, which can help health plans make informed decisions and define priorities around value-based care initiatives.