"We realized we were only addressing two legs of a three-legged stool. We have a tremendous focus on medical and physical health, and now relationships with community organizations. By including behavioral health entities, we're completing that stool to provide truly comprehensive care for children."

"Very simply, performance is about delivering 'value' cost-effectively. This means costs cannot exceed revenues. And the net revenue that results powers the organization's capacity to grow, innovate, and continue to evolve its offerings."

Looking to negotiate value-based contracts with payers but not sure where to start? Negotiating VBCs can be a complex and challenging process with no guarantee of success. However, with careful planning and a strategic approach, you can increase your chances of success and achieve mutually beneficial outcomes.

Explore the intricate balance between automation and expert input in managing value-based care (VBC) contracts. As healthcare organizations navigate the complexities of VBC, fine-tuning the VBC flywheel has become critical to achieving sustainable business growth and improved patient outcomes. With the right blend of technology and human expertise, organizations can optimize their contract management processes, enhance performance, and unlock significant financial rewards. However, while automation can streamline many repetitive tasks, expert judgment remains indispensable for interpreting data and making strategic decisions.

In its most recent report titled, "Transforming Healthcare: Navigating Digital Health with a Value-Driven Approach," developed in collaboration with BCG, the World Economic Forum (WEF) has recognized Innovaccer as a significant digital health solution. The Innovaccer data technology provides a powerful solution that effectively tackles healthcare challenges, by empowering healthcare organizations to build more efficient and sustainable healthcare systems.

This is part two of our "VBC's Tipping Point" series. If you missed the first part, you can read more about why value-based care is closer than you think. In the previous article, Amy Stevens, General Manager of Provider Performance and Innovation at Innovaccer, debunked three common myths about the barriers faced by health systems in transitioning to value-based care:

Missing diagnosis codes in standard risk algorithms can lead to inaccurate risk score calculations, impacting payment strategies and care plans. Our suspect code algorithm is designed to fill these gaps by identifying potential undocumented conditions based on clinical evidence such as lab results, procedures, medications, and anomalies in vitals.

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Recognizing the crucial impact of Social Determinants of Health (SDoH) on pediatric care, the Accountable Care Organization (ACO) has implemented proactive interventions designed to enhance health outcomes for children. By focusing on SDoH needs, the ACO aims to create a more holistic approach to health care that addresses the underlying factors influencing the well-being of its patients.

The healthcare industry has long been ripe for disruption, and with the rise of MedTech innovation, transformation is finally starting to happen. Significant advances in digital technology and clinical solutions have driven the development of smart devices, companion applications, early diagnosis algorithms, and the delivery of better care to patients. Nevertheless, the associated explosion in data has exacerbated healthcare’s fragmented and siloed data ecosystems.