Value-based purchasing (VBP) shifts health plans and governmental payers away from reimbursing providers for the volume of services they provide to an incentives model that encourages the delivery of higher-quality care at the lowest possible cost. The goal is to foster joint clinical and financial accountability in the healthcare system. This accountability includes the consumer’s role in his or her own health and well-being. Everyone — payers, providers, and consumers — are critical stakeholders.
The road to VBP requires providers to have the systems, organizational structures, and financial support to provide healthcare across the service continuum — from wellness to end of life, with a focus on the right care at the right time in the right place. This model also requires quality and cost transparency so consumers can make informed decisions about their care and actively participate in their own health. CHI collaborates with payers, providers, and consumers to help develop the systems, organizational structures, and information-sharing capabilities necessary for VBP programs to succeed.
CHI’s care management program, patient-centered medical home initiative, and health information exchange are examples of services designed to support VBP opportunities. Additionally, CHI provides services to Aspire Health Plan, a locally owned and managed Medicare Advantage health plan. You can find more detailed information about these programs on our services page. You can also visit our partnership page to see some of our VBP payer, provider, and community agencies stakeholders.