Value-based care report
Value-based care drives preventive care
Amid an ever-changing healthcare system, an agile care model allows value-based practices to focus on efforts to better connect with their patients.
Value-based care report
Amid an ever-changing healthcare system, an agile care model allows value-based practices to focus on efforts to better connect with their patients.
Star findings show that value-based care (VBC) may strengthen payer and clinician partnerships. Value-based physicians outperformed non-value-based physicians in all Healthcare Effectiveness Data and Information Set (HEDIS®) preventive screenings and adherence measures.
Screenings are between 3%–11% higher for value-based (VB) vs. fee-for-service (FFS), with colorectal screenings, diabetic eye exams, osteoporosis management and mammograms being in the 8%–11% range.
Average Star ratings are better in value-based care than fee-for-service.
Value-based rated 3.9 while non-value-based 3.3 on the CAHPS Pulse average.
Overall member redemption for wellness programs increased by 79% (or $4M+) from last year, proving the value of these programs as effective motivators.
Screenings are between 3%–11% higher for value-based (VB) vs. fee-for-service (FFS), with colorectal screenings, diabetic eye exams, osteoporosis management and mammograms being in the 8%–11% range.
Average Star ratings are better in value-based care than fee-for-service.
Value-based rated 3.9 while non-value-based 3.3 on the CAHPS Pulse average.
Overall member redemption for wellness programs increased by 79% (or $4M+) from last year, proving the value of these programs as effective motivators.
The next big opportunity in VBC is addressing social injustices for those who face challenges such as income and health inequities, substance-abuse disorders and those who require family support.
Lack of transportation is the leading cause of patient no-shows. Learn how some healthcare practices are addressing care gaps due to by transportation issues facing Humana’s Medicare Advantage members.
CareMax is a primary care physician group. One of those issues that we found very early on was that seniors had a difficult time getting to their doctor appointments and getting to their clinics by providing transportation. We make it easy for them to get health care services in our medical centers.
This is a very good advantage for the people when they are in an age, that it isn't possible to drive. So I think the transportation, it's doing a very good job.
Our senior population is the largest segment of our population. We wanted to bring care out into the community so that our patients and residents here can get the early detection and screenings that they need. So we go all around our community here in Tammany Parish, and we are a senior friendly community. So it's a huge asset for that population.
Our algorithm has made it that we can in an equitable fashion, provide transportation to all patients in all our geographies.
They're just appreciative that we bring this to them. So we're reducing that barrier, making it a little bit easier to comply with the recommendations of having these screenings every year.
She was asking me if I would like to do that or go somewhere, and I travel rather, you know, for the bus to come here and I'll come here to maybe it's more convenient.
You know.
The range of uses for our transportation is varied, but the purpose of it is to facilitate that care. Max can create a relationship with its patients. We have all kinds of patients who use transportation. Some patients use transportation just to come to our wellness or activity centers. Our patients come and use transportation, obviously, for their clinical visits, whether it's a cardiologist or other specialty visit or their primary care visit.
I think by bringing the service to folks where they're already planning to be, it's a huge asset. It makes it so convenient. It can be difficult for patients to get from point A to point B. So bringing this service to them is huge and it can mean the difference between having your screening completed and maybe passing on it.
Like bladder cancer. So we'll make sure that stays under control and you know, I have COPD so that, you know, I like to keep controlled.
We tell you when I start here, when I study here, I have four seniors per hour in my knee. So our thanks to the therapist aerobic exercise and soon the class. So now today, I can say that I'm another person.
So primarily, we provide screening mammogram. That's our major focus point. But we also have a full clinical exam room where we can provide other screenings, other health services. We can do ultrasounds, we can do. We've done vaccination clinics on the bus. So during COVID and the peaks that we experienced during COVID, we had had vaccine clinics set up, all of us, to alleviate some of the pressure in our in-person clinics.
We've got over 50 vans within the medical centers. Those vans need to be staffed by more than one driver per van.
We launched our first mammogram on the bus was in August of 2021, and we've had five cancers diagnosed since then. So it's you know, it's just been a tremendous success story for our community.
Our purpose, which is providing seniors across the country with an avenue to get the best and highest quality health care available.
I think we are blessed because of no stress, no depression, no pain, everything. So that made it they feel a spiritually, spiritually and physically good.