Medical Economics October 28, 2021
Dan Santmyer, FSA, MAAA

Value-based models are designed to reward health care providers who improve patient care while contributing to an overall reduction in cost.

The ongoing shift to value-based care models means primary care physicians face an increasing responsibility to coordinate care with specialty providers that treat chronic conditions. Managing a patient’s chronic condition can improve long-term outcomes by slowing the disease advancement, thereby reducing or preventing complications and overall costs. Specialty care accounts for approximately 75% of health care spending in the U.S. and is why 96% of Medicare dollars go to treating and managing chronic disease.

While primary care physicians are essential in helping patients preserve their health, identify challenges, and obtain appropriate care, the bulk of a patient’s treatments will...

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Topics: ACO (Accountable Care), Payment Models, Primary care, Provider, Value Based
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