Value Based Care

As US Healthcare costs continue to climb, alternative payment methods have been proposed as a replacement for fee-for-service reimbursement based on quality rather than quantity. Value-based care reimburses providers for the quality of the delivery of care provided and rewards them for both efficiency and effectiveness. The Medicare Access & CHIP Reauthorization Act of 2015 (MACRA) has spawned a two-track Quality Payment Program (QPP) that emphasizes value-based payment models for providers.

The Advanced Alternative Payment Model (AAPM) offers physicians incentives to provide high-quality, cost-effective care and move away from the fee-for-service (FFS) model. In 2019, the Merit-Based Incentive Payment System (MIPS) adjusts payments to providers based on performance in four performance categories: 1) Quality based on the Physician Quality Reporting System, 2) Cost based on the Value-based Payment Modifier, 3) Promoting Interoperability based on Meaningful Use through the Medicare EHR Incentive Program and 4) A new category called Improvement Activities. Performance categories carry different weights that will shift as the program progresses.

We, at Visaya, can lower your costs and help your organization improve the Quality of Care to increase your quality scores through the use of our RNs (registered nurses), NCLEX-RNs and MDs and Achieve Better Patient Outcomes.