Value-Based Arrangments

Physicians Advocacy Institute

Value-Based Arrangement Resources

The Physician’s Advocacy Institute has partnered with Healthsperien, a health care consulting firm based in Washington, D.C., to develop a comprehensive set of value-based arrangement resources to help physicians better understand and assess the pathways available to their practices and utilize the learnings toward successful participation in appropriate value-based arrangements.

Value-based arrangements are a concept by which purchasers of health care (i.e., payers, employers, and consumers) hold the health care delivery system at large (physicians and other providers, hospitals, etc.) accountable for both quality and cost. The aim is to promote enhanced population health management, resulting in the improvement of a patient’s health outcome and systemic cost containment or reduction. Value-based arrangements (i.e., value-based contacting) use alternative payment models (APMs) to create a combination of incentives and disincentives to encourage better health care decision making by linking compensation to specific performance measures.

The following topics have been carefully selected to provide critical details on APM practice participation. A description of each resource is provided below:

Building Blocks for Success - Introduction

Introduction

Determine whether an APM is the appropriate pathway for you

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Building Blocks for Success - Practice Assessment

Practice Assessment

Core care management techniques, data insights, and risk-based APMs

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Reference Guide – Specific Examples of Current APMs

Reference Guide – Specific Examples of Current APMs

Comparison of key attributes across APMs

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Evaluating Patient Risk and Physician Performance in APMS

Evaluating Patient Risk and Physician Performance in APMS

Critically evaluate risk in your patient panel

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Practice Structuring for APM Participation

Practice Structuring for APM Participation

How your practice can operate under multiple APMs

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Crosswalk – Medicare APMs to Commercial Value-Based Arrangements

Crosswalk – Medicare APMs to Commercial Value-Based Arrangements

How quality can be linked to payment

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Types of Value-Based Revenue Models

Types of Value-Based Revenue Models

Model participation based on practice structure and capabilities

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Guide to Value-Based Contracting

Guide to Value-Based Contracting

Tips for when contracting with different entities

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