Driving enhanced value and efficiency in the healthcare delivery - - PowerPoint PPT Presentation

driving enhanced value and efficiency in the healthcare
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Driving enhanced value and efficiency in the healthcare delivery - - PowerPoint PPT Presentation

Driving enhanced value and efficiency in the healthcare delivery chain Geraldine Bartlett 18 July 2017 Escalating Costs Are we getting VALUE? Ref:HQA TODAYS REALITY A MARKET THAT ISNT WORKING Value-based healthcare is a form of


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Driving enhanced value and efficiency in the healthcare delivery chain

Geraldine Bartlett

18 July 2017

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Escalating Costs

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Are we getting VALUE?

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Ref:HQA

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REALITY TODAY’S

A MARKET THAT ISN’T WORKING

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Value-based healthcare is a form of re-imbursement that ties payment for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness.

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Financial Risk Degree of integration & accountability

FFS Pay for performance cost Pay for performance cost & quality Bundled payments Capitation patient population and

  • utcomes

Single provider Team Accountable Care Organisation (ACO)

Moving to VBR

Adapted from United Health Group 2012

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“Bundled payments are the only true value-based payment model for health care.”

How to Pay for Healthcare by Michael E. Porter & Robert S. Kaplan Harvard Business Review July-Aug 2016

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Advantages

  • Accountability
  • Drives multidisciplinary care
  • Directly rewards good outcomes
  • Strong incentives to improve efficiency
  • Creates competition
  • Stimulates areas / centres of excellence
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Source: Cognizant, 2017

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“Patient outcomes are taking over from products and services as the focus of healthcare. This demands the convergence of data from every part of the healthcare system.”

Using data and technology to improve healthcare ecosystems. McKinsey & Company July 2017

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“Change will not come if we wait for some other person or some

  • ther time. We are the ones we’ve

been waiting for.”

Barack Obama