3 value-based care considerations to prioritize in a health plan

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3 value-based care considerations to prioritize in a health plan

Consider the ultimate value

In this Benefits Pro article, you'll learn about:

  • The financial incentives of value based care

" In the value-based care delivery model, providers are paid based on patient health outcomes. Under agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease, and live healthier lives in an evidence-based way. "

  • Challenges and opportunities

" Very few payers have been able to launch large-scale value-based initiatives that deliver on the promise of true value-based care, and this should be of concern to employers who need to drive benefit costs down while remaining an employer of choice. Analysts at WTW polled 636 employers representing 10 million workers and found that 94% are naming health care costs a top priority over the next two years. "

  • Key considerations

" Tiered benefit plans: Tiered benefits allow employers to manage what they pay for in health care services and empower patients to select a plan design and network that fits their financial needs and personal preferences. Customizing these benefit tiers is a crucial component in choosing the health plan that will meet the cost and benefit needs of employees. "

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