WHAT IS VALUE-BASED HEALTH CARE?

Value-based health care delivers the best health outcomes at the lowest cost.

In Atlanta, healthcare partners, community organizations, and local government leaders, supported by regional and national experts, have designed a five-year pilot to improve care for heart failure patients who experience an inpatient stay in facilities located in Cobb, Fulton or DeKalb counties, through a value-based healthcare model.

By linking clinical care to critical community services this effort will ensure adherence to treatments and therapies, attendance at doctors’ appointments, proper nutrition, medication management, and the ability to engage in physical activity and reconnect socially with friends and neighbors.

OUR GOALS & FOCUS

This pilot positions Atlanta as a leader in a collaborative approach to value-based health care. It provides a unique opportunity to increase heart failure survival and quality of life while reducing costs. Over the course of the 5 years, partners will standardize data collection, target evidence-based interventions to specific patient groups, create financial payment models to support these interventions and reward better outcomes. Using a multi-stakeholder approach to ensure that the impact is felt system-wide—payers, providers, government, medtech pharma, and—most importantly—patients.

BACKGROUND

In the spring of 2017, the City of Atlanta was selected as the first US site for the World Economic Forum’s (WEF) global Value-Based Health Care initiative. The WEF has initiated efforts in diverse communities around the world, to realign the incentives, interests, strategies, and behaviors of parties engaged in healthcare delivery to achieve better health outcomes at a lower cost.

In October 2017, the project formally kicked off with local, national and global partners committing to support the design and launch of the five-year pilot. This project marks the first time most major health systems and payers in the Atlanta market have agreed to work together on a shared initiative that engages the network of non-clinical community services; will align, track and benchmark outcomes on a neutral platform; centers patient outcomes in all phases of the project; and shifts funding to support quality and not quantity of care. While heart failure is the current focus, the infrastructure built through this effort is designed to address additional health conditions appropriate for a value-based relationship.

This project is currently funded by the American Heart Association, Centene, Kaiser Permanente, Humana and Medtronic.

DOWNLOAD THE VALUE-BASED PAYMENT MODELING ROADMAP

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Next steps

In 2019 we will focus on:
  • Refining workflows and timelines
  • Data standardization and ensuring that all health systems are connected to the Georgia Health Information Network
  • Creating project data warehouse and begin initial data collection (3 months)
  • Conduct baseline analysis and risk stratification
  • Match interventions with risk profiles

DOWNLOAD THE PROJECT SUMMARY

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