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Transformational changes across the healthcare system are empowering providers to assume accountability for the Triple Aim of quality, cost, and patient experience. Shifting reimbursement from fee-for-service to value-based models is critical to enabling this important re-alignment, by providing the healthcare delivery system with the impetus and incentive to develop and test innovative models of care. Post-acute and long-term care represent prime opportunities for such breakthroughs. This session will review examples of value-driven redesign in these settings, with a practical emphasis on the key steps necessary to create a fully aligned, outcomes-focused culture. Presenters will share important considerations, from the perspective of people, process, and technology. Results of recent approaches to value-base redesign will be shared, including examples tied to the Bundled Payments for Care Improvement (BPCI) and the Medicare Shared Savings Program (MSSP) initiatives.
Learning Objectives: (1) Discuss the opportunity and impact of new reimbursement models on PA/LTC. (2) Describe strategies to succeed in an environment where providers assume increasing risk for outcomes. (3) Explore innovative care models and how they can contribute to organizational success. (4) Share successes and challenges, from those who have already been moving down this path.
