Recently we had a conversation that was centered around why some providers perform better in value-based contracts than others. In my opinion, there are three elements that ensure success: education, support and EMRs.
1. Education, education, education. There are countless different value-based arrangements. Our industry is in the midst of a monumental change from fee for service to a value-based care as a payment methodology. Many of our providers have spent the majority of their career in fee for service. This is a big pivot and education for providers and their support teams is crucial. I encourage you to be creative with provider education. It is not always possible to get an hour on a busy clinician’s schedule so think of alternative delivery methods outside of traditional PowerPoint. Consider lunch and learns, on demand recordings and Q&A sessions.
2. Provide support. Invite key team members to be part of the switch to value-based care. Everyone who is part of the process should be included in educational sessions, so they know the role they play in the success of your organization.
3. Check your Electronic Medical Records (EMR). Unfortunately, many EMR’s were designed for fee for service and have not yet made the transition into VBC. Ensuring that your organization’s EMR is able to submit up to twelve diagnoses per outpatient claim is a first step in ensuring you are set up for success. Taking a look at code descriptions and prompts in the EMR is another way to ensure that the information you are submitting accurately reflects the work your clinicians perform and the severity of illness of your patients.
The journey to value-based care is a long one. Ensuring your providers are educated, supported, and have an up-to-date EMR will enable their success.
Is your program ready? CoventBridge is here to help. We offer end to end Risk Adjustment program assessments. If interested, please contact us at: marketing@coventbridge.com
