Improving Health Care Outcomes Supporting Providers in ValueBased

Improving Health Care Outcomes & Supporting Providers in Value-Based Care Amol Navathe, MD Ph. D University of Pennsylvania @amolnavathe

ACO lives and penetration by state, Q 1 2021 Physician Groups are Leading the Way in Valuebased Care Value-based models, like ACOs, are expanding and are here to stay # of ACOs 38 – 76 28 – 36 20 – 26 13 – 18 10 – 12 5– 9 0– 4 Physician groups have performed particularly well Source: https: //www. healthaffairs. org/do/10. 1377/hblog 20210609. 824799/full/ Public and private payers are investing in physicians Example health plans innovating with physicians

Best Practices in Value-based Implementation Use techniques to support physicians with information, infrastructure, and incentives Make investments in culture and make them physician-led Provide rewards based on short-term performance indicators Promote transparency, co-creation, and buy-in overall Provide estimates of incremental revenue that practices did not receive by not meeting targets Encourage selection of appropriate measures and salient incentives Provide comparative reports between practices in the same ACO Enable development of workflows and other tools to support clinicians in improving practice patterns Encourage practices to focus on key upstream KPIs Prioritize high-risk patients and offer plan to close gaps Proactively identify unintended consequences such as conflicts with other incentives or potential misinterpretations Create automated work lists to coordinate outreach Create culture of change

New Opportunities Covid has unlocked new opportunities – particularly around telehealth and home-based care. Seizing upon these is critical.