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What Is Value-Based Care and How Does It Work?

April 22, 2022

Manager Auditing Value-Based Health Care

One of the main goals of the Affordable Care Act, passed in 2010, was to try out new models of paying for healthcare in hopes of benefitting patients as well as hospitals and providers. One such model, which you may have heard while looking for different healthcare providers, is called the “value-based care” model.

Let’s talk about what valued-based care is, what it was designed to replace, why it benefits you as a patient, and where you can go across Central Florida and South Florida for outstanding primary senior care that focuses on keeping you healthy.

What Is Value-Based Care and What Is It Replacing?

Before the Affordable Care Act, the most common healthcare payment model was the “fee-for service” model. In this model, healthcare providers are paid based on each service performed. The focus, therefore, is on the quantity of care, as the more tests or procedures performed, the more providers are paid.

Value-based care is a newer model of healthcare payment that is designed to promote quality of care, rather than quantity. In this model, healthcare providers are paid based on health outcomes of their patients. In this way, value-based care is focused on quality of care and preventative care, in addition to treating disease/illness as it comes up.

The long-term goal is to lower the amount of hospital re-admissions and surgeries, because the care was appropriate and effective the first time. This saves money for both patients and hospitals/caregivers.

This model incentivizes all providers who are involved in a patient’s care to work towards the patient regaining full health in order to receive the most payment.

Models of Value-Based Care

The Center for Medicare & Medicaid Services (CMS) has introduced a variety of types of value-based care models, and private insurance companies also have similar models. The CMS models include:

Accountable Care Organizations (ACOs)

In this model, physicians, hospitals, and other healthcare providers participate in a network that shares savings if they provide high-quality care. They can therefore decrease cost by providing preventive care that avoids costly surgeries and mitigates disease.

Bundled Payments

Payment for all healthcare services which are provided for an entire episode of care are “bundled.” For instance, after a surgery, the cost to pay the surgeon, anesthesiologist, and hospital are all paid together instead of separately to each provider.

Patient-Centered Medical Homes

In this model, patient care is coordinated through a primary care provider, and any other specialty providers needed are added into a team of providers that support the patient.

How Value-Based Care Benefits Patients

Value-based care is extremely beneficial to patients, because the main focus is to prevent diseases from occurring in the first place – and without lots of unnecessary tests. This is accomplished by educating patients on proactive actions such as diet, exercise, and healthy life habits to promote wellness and prevent disease.

This is especially beneficial for people who have chronic conditions; because value-based care models incentivize providers to work together, it ensures that the most expert individuals are the ones responsible for the various aspects of your care.

What Does Value-Based Care Look Like?

An easy example of value-based care is the patient-centered medical home. For instance, if you have diabetes, under this model you would work with a primary care doctor to oversee all aspects of your health, an endocrinologist to manage your insulin levels, a nutritionist to create a diet that helps you regulate your blood sugar, a physiologist to design a sustainable exercise program, and possibly even a therapist to help you through psychological and emotional implications of having a chronic illness.

While it may seem quite expensive to have this many providers involved in your care, in the long run it is cheaper for you – because all these providers are essentially saving you the cost of treating extensive health complications that warrant hospital stays. This is accomplished by helping you keep you condition in check.

Value-Based Care in South Florida and Central Florida

Value-based care is centered around each patient’s health and wellness. It pays providers based on these factors rather than for the number of services they provide; it therefore promotes quality over quantity.

At Palm Medical Centers, we are all about maximizing patient wellness and avoiding unnecessary tests and procedures. We offer value-based, senior-focused medical care at our many locations throughout Central Florida and South Florida. Our providers and staff are committed to the highest quality of service, compassion, integrity, performance, and teamwork to provide you with the best care possible.

To schedule an appointment, call us today at (833) 500-7256, or fill out our request form online now. We look forward to seeing you at one of our offices and helping you on your health and wellness journey!

Filed Under: General Tagged With: best primary care services near me, Medicare Provider in Central Florida, medicare services in Central Florida, medicare services in South Florida, Palm Medical Centers, Preventive Care for Seniors in Central Florida, Preventive Medicine Physicians in South Florida, Value-Based Care, Value-Based Care In Central FLorida, Value-Based Care In South FLorida, Value-Based care near me

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Highly recommend Lou Ann Albano! She is very compassionate, friendly, skillful, attentive, provides excellent care and really listens to you. You are in great hands!

Deanne S.

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I just wish I could quit forgetting my blood work appointment, but other than that everything is fine. I have been getting great care from Dr. Renan and the office staff is excellent.

Jennifer D.

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The staff greets me with a smile and by name. There's never a long wait, and Dr. Min is the PC that I have ever had. 15 yrs and counting!

Rose R.

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I am very happy to be a Patient at Dr Aristides Martinez Office, my appointment yesterday with Andrea was far above expected, she dedicated about one hour to talk with me about all my pains and my concerns. It was like if I would've been with a Psychologist, I came out of her office with all my questions answered and sure that I am in very good hands. I thanks God that I started coming to this Clinic.

Susana Tudda

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I love Ms. Patel and the girls in the office. I rarely have to wait long. I have been going to this office since it was JayCare in 2015. I have never had a problem with any of the doctors or PAs that I have seen. Ms. Patel actually takes time with me and listens to my concerns. I already recommend her to everyone I know.

Kayleigh Ray

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Since moving to Florida three years ago I’ve seen many doctors and just didn’t have a good feeling. Once I walked into Dr Shah’s office from the front desk staff to the doctor himself was a wonderful experience. You are always given their undivided attention and Dr. Shah is Very thorough in his exams. I give 5 stars to this office

Annette Gambino

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Dr Fundora is absolutely incredible, very knowledgeable and caring and her entire staff is amazing too, highly recommended. The receptionists and even the security guards are extremely helpful and friendly, they always remember me when I come in and they’ve all always gone above and beyond to make each experience as easy and stress free as possible.

Louie Blanche

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We love and trust Dr Cruz. Also their staff is wonderful they’re always happy & have a smile when you go in so it makes you feel better when you’re not feeling so good. I would highly recommend them to everyone and as a matter fact when I changed my insurance this year I made sure he was on the list. Sincerely, A happy patient

Linda Hudson

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Dr Latt and his staff are AMAZING. Dr Latt takes his time to listen to you and explain everything In detail! The lobby looks amazing, made my heart feel the Spirit of Christmas. My mom was diagnosed with liver failure on Christmas Day and passed 10 days later, 2 years ago and I have really struggled to feel the spirit of Christmas since then. The minute I opened the door and walked into the building pure joy flooded my soul. Thanks to the Staff at Palm Medical for the Amazing Holiday Scene May God Bless you and your families always.

Mrs. Asher

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5 Stars Review

Dr Latt and his staff are AMAZING. Dr Latt takes his time to listen to you and explain everything In detail! The lobby looks amazing, made my heart feel the Spirit of Christmas. My mom was diagnosed with liver failure on Christmas Day and passed 10 days later, 2 years ago and I have really struggled to feel the spirit of Christmas since then. The minute I opened the door and walked into the building pure joy flooded my soul. Thanks to the Staff at Palm Medical for the Amazing Holiday Scene May God Bless you and your families always.

Mrs. Asher

5 Stars Review

Highly recommend Lou Ann Albano! She is very compassionate, friendly, skillful, attentive, provides excellent care and really listens to you. You are in great hands!

Deanne S.

5 Stars Review

I just wish I could quit forgetting my blood work appointment, but other than that everything is fine. I have been getting great care from Dr. Renan and the office staff is excellent.

Jennifer D.

5 Stars Review

The staff greets me with a smile and by name. There's never a long wait, and Dr. Min is the PC that I have ever had. 15 yrs and counting!

Rose R.

5 Stars Review

I am very happy to be a Patient at Dr Aristides Martinez Office, my appointment yesterday with Andrea was far above expected, she dedicated about one hour to talk with me about all my pains and my concerns. It was like if I would've been with a Psychologist, I came out of her office with all my questions answered and sure that I am in very good hands. I thanks God that I started coming to this Clinic.

Susana Tudda

5 Stars Review

I love Ms. Patel and the girls in the office. I rarely have to wait long. I have been going to this office since it was JayCare in 2015. I have never had a problem with any of the doctors or PAs that I have seen. Ms. Patel actually takes time with me and listens to my concerns. I already recommend her to everyone I know.

Kayleigh Ray

5 Stars Review

Since moving to Florida three years ago I’ve seen many doctors and just didn’t have a good feeling. Once I walked into Dr Shah’s office from the front desk staff to the doctor himself was a wonderful experience. You are always given their undivided attention and Dr. Shah is Very thorough in his exams. I give 5 stars to this office

Annette Gambino

5 Stars Review

Dr Fundora is absolutely incredible, very knowledgeable and caring and her entire staff is amazing too, highly recommended. The receptionists and even the security guards are extremely helpful and friendly, they always remember me when I come in and they’ve all always gone above and beyond to make each experience as easy and stress free as possible.

Louie Blanche

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We love and trust Dr Cruz. Also their staff is wonderful they’re always happy & have a smile when you go in so it makes you feel better when you’re not feeling so good. I would highly recommend them to everyone and as a matter fact when I changed my insurance this year I made sure he was on the list. Sincerely, A happy patient

Linda Hudson

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Palm Medical Centers throughout central and South Florida offers value-based, and senior-focused medical services including Primary Care, In-House Specialists, Diagnostic Services, Case Management & Clinical Care, Social Services, Transportation, Wellness Centers, Pharmacy, Telemedicine, Patient Resources, and Caregivers support.

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