Value-based care is an emerging solution to the challenges that rising healthcare costs, clinical inefficiencies, and duplication of services present to healthcare providers, consumers and health insurance payers.
Two concerning results of the payment-based-on-volume model are:
One way of addressing these variations while continuing to deliver healthcare that patients want and need is to transition to a reimbursement system that is value-based.
The behavioral healthcare field is currently transitioning to value-based care. For patients, this means receiving safe, appropriate, and effective care at reasonable costs with improved long-term outcomes. For healthcare providers, this means relying on evidence-based treatment with empirical data and demonstrated results.
A critical component of understanding the value of treatment delivered is the effective measurement of clinical outcomes. It is impossible to know the type and length of treatment that will be most effective unless post-treatment results are collected and tracked over time. Any patient considering treatment ought to know what to expect in terms of cost and what the realistic expectations are in terms of treatment success from any given provider.
Without outcomes data, patients lack the tools to make informed decisions and providers are unable to report their success rates. We do not accept this lack of information in other segments of healthcare and with effective population health management, it is no longer acceptable to do so in the field of behavioral health.
A focus of healthcare reform has been to more closely track and monitor quality measures such as success rates, ineffective treatment, recidivism rates and readmissions. An effective population health management system for behavioral health is crucial.