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What is Preventing the Adoption of a Value-Based Care Model?

What is Preventing the Adoption of a Value-Based Care Model?
03 June 2024

If you are reading this, there is a high probability that you already know about the concept of value-based care. But just in case you need a refresher, let us explain it in simple terms:

Value based care model prioritizes the quality of care, patient experience, and provider performance.

This is the mantra that is currently being adopted by the healthcare provision ecosystem as a whole. This is not conjecture, it is reality; as backed up by the 2023 report by McKinsey & Company, which projects that value-based care arrangements will account for up to 80% of all healthcare payments by 2030.

While the idea of value-based care being mass implemented is exciting (owing to the logical conclusion that it would lead to better health outcomes and lower medical costs for the patient), it comes with some serious hurdles to implementation; mainly as it relates to concepts like:

  1. Maintaining the integrity of and providing the secure transfer of sensitive health data
  2. The impact it would have on existing healthcare providers and their teams
  3. Difficulties with patient engagement and its impact on patient outcomes
  4. The complexities of ensuring that any and all regulations are met and complied with
  5. To alleviate or eradicate a problem, the first step is to truly grasp what it is. So, let’s take each of the concepts above and examine them more granularly

Fragmented Health Data

Allow me to borrow a quote from Dr. Ramin Abbasi, Chief Medical Officer at the American Medical Informatics Association (AMIA): “Fragmented data is a major barrier to achieving the full potential of value-based care.”

He is, of course, absolutely correct. As all of us in the healthcare sphere know full well, the maintenance of the integrity of the patient’s data is secondary in priority only to the optimization of their care. And that prioritization can be debated, since the two concepts are intrinsically linked with each other.

Partial data could lead to an incorrect diagnosis, which would lead to the prescription of the wrong course of treatment, which might not only be ineffective in treating the patient, but also could be actively detrimental.

This is why so many healthcare providers are currently putting pressure on their existing Electronic Health Records (EHRs) software providers (or searching for new EHR providers who are able) to provide them with the capabilities necessary to be interoperable with healthcare systems adjacent to and/or outside of their practice.

Impact on Providers to adapt to the new model

It takes considerable effort to set up a productive workflow; especially in a healthcare setting, where the timely and accurate completion of required tasks by each member is a necessity for the entire system to operate cohesively.

Change is difficult. It is a clichéd saying, nonetheless, it is also the truth. Attempting to change or upend an already existing workflow will more than likely lead to dissatisfaction and potential burnout from the employees, who would need to not only learn to adapt to their new workflow, but also be prepared to learn and adapt with the workflow and capabilities of any other healthcare system they would go on to work with in the future.

The Effect on Patient Engagement

Patient engagement should not be difficult. Yet it is. There is a cavalcade of reasons for this, ranging from the patient being concerned with what they perceive to be more pressing matters, to the patient having a difficult time engaging with their care provider in an easily accessible manner.

This is a challenge that must be overcome. After all, in most cases, the issues faced by the patient can only be overcome by their adherence to the treatment plan given to them by their provider.

A well calibrated and functional patient engagement strategy that cracks the code to incentivizing/motivating patients could be what is needed to cause an increase in the active engagement by patients towards their health optimization; this might seem a tall claim, but is in fact a very reasonable predication, based upon the 2022 study published in Population Health Management, which found that high-performing value-based care programs prioritize patient engagement strategies.

The Compliance Hurdles

We’ve already discussed the sanctity of patient health data and what could happen if data isn’t transferred wholly. That was in relation to health outcomes. The other key issue that needs to be taken into consideration and addressed before implementation of a value-based care model is whether or not they are going to be able to comply with and meet the various regulations and reporting requirements that could arise.

Failure to do so would be catastrophic for a practice, as it would leave them open to reputational damage, as well as monetary damage from any penalties enacted on them and/or legal action from parties affected.

We, at blueBriX, would be able to help you in addressing all of the pain points we’ve talked about so far.

Since the very inception of our organization back in 2008, we have operated under the motto of making healthcare technology easily accessible to all. Our founders, who were instrumental in shaping the direction and the development of digital health solutions over the last two decades, foresaw the industry needs and created a solution capable of addressing these tasks:

  • APIs and Microservices that enable integrations and interoperability with the health ecosystem vide low-code no-code applications is foundational to blueBriX. So, accumulating and accommodating health data from any source is easy. We grew up and found our footing in open source, therefore interoperability and openness have been at the core of our philosophy in developing digital health solutions.
  • Defining differentiated and proprietary business models or care models is easy with the drag and drop low code application interfaces. Each provider can design and maintain workflows that work for her. Personalized or therapeutic care-pathways and treatment plans with team coordination will feel like a breeze. The organizational secret sauce can be baked into the application giving them a competitive edge over their peers. Basically, you work the way you want.
  • The blueBriX platform’s patient engagement and remote patient monitoring tools comes with more advanced capabilities than a mere patient portal. Behavioral change algorithms that enhance medication adherences, gamification of engagements, incentivization and education tools, training and monitoring capabilities are all part of the solution that a forward thinking Value Based Care organization would need. Compliances are foundational to Digital Health Solutions. blueBriX has been the chosen solution for fortune 500 healthcare organizations and Pharma companies for a reason. You may click here for our certification.
  • Analytics and reporting are what makes or breaks a Value Based Care organization. Whether to submit compliance reports, or to measure quality of outcomes, or for risk assessments, or for tracking efficiency in operations a robust analytics tool is important. blueBriX addresses these needs with APIs and Microservices to port data, Datalakes to store them, Data models that addresses specific areas, ability to connect client BI tools, and more. We are able to provide the care team foresight into possible future health challenges the patient might face.

In this article, we’ve introduced and briefly gone through a small snippet of information regarding the Value Based Care approach to providing care. But this is not the only one we have written about this industry revolutionizing method to care provision. If you would like more information about Value Based Care, click here. If you would like more information about blueBriX and would like to speak to a representative, feel free to contact us by clicking here.