Value-Based Care & Reimbursement

Improve patient outcomes, contain costs, drive practice income

Say goodbye to the fee-for-service model of patient care.

You’re probably already feeling the effects of the end of fee-for-service payment models. Value-based reimbursement models have arrived, offering payment premiums for providers who are able to foster, measure, and report on proactive, population-based care management programs that drive better outcomes and reduce the cost of healthcare. ACOs and PCMHs are just two examples. Plus the 2016 Medicare Physician Fee Schedule Rule recently announced that in 2018, 10% of a physician’s 2018 Medicare pay will depend on their 2016 performance in the MU, PQRS, and physician Value-Based Payment Modifier (VBM) programs.

Just as a rising tide lifts all boats, so does a healthier patient population improve your reimbursement results.

VALUE-BASED CARE:
It's within your reach.

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Take your Value-based Care Readiness Survey at HIMSS in the NextGen Booth. Visit us at booth #3361 to see how we can help you get there.

Take a deeper dive into the facts about value-based reimbursement

Download The Definitive Guide to Value-Based Care

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Mitigating risk with fee-for-value payment models

Now more than ever, population health management is mission critical.

As healthcare shifts to value-based reimbursement models, the financial risk of patient care, particularly for patients with costly chronic conditions, is shifting from payers to providers.

Now providers must focus on identifying high-risk patients, engaging them in their care, and improving individual and group health results. Successfully improving these metrics results in a healthier patient population and financial benefits.

To transform your practice to a value-based revenue entity and to understand the costs associated with your care model, you’ll need to meet several goals including:

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Improved financial performance
revenue cycle management, operational efficiencies

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Interoperability
for data exchange and aggregation across hospitals, physicians, and other systems for a clear, longitudinal view of the patient

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Enhanced patient experience
patient access, patient engagement, and communication

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Our population health tools and analytics dashboards help these organizations achieve value-based reimbursement success.

Maximize every reimbursement dollar

With today’s increasingly challenging reimbursement environment, it’s crucial to understand the application and impact of today’s value-based programs and to ensure you have the tools and strategy needed to meet their requirements. To help providers transition from fee-for-service to value-based care, Congress created programs to link Medicare payments to physicians and to value and quality. Learn more about these and the reporting needed around quality measures.

NextGen® solutions and value-based care success is a reality

Explore solutions designed to help you transition successfully to fee for value:

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