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In value-based care, providers are expected to assume more financial risk than ever before using alternative payment models. What are these models, and what are the risks and rewards of each to physicians?
As more providers pivot to and embrace value-based care, their foremost concern is delivering the highest quality service to patients while using available resources appropriately. But they also have another priority that stays top of mind: ensuring their financial solvency under a new care model. Financial success requires a multi-faceted strategy, and accurate coding of services is a vital component. However, providers can’t protect their bottom line alone. They need help. Risk adjustment coders partner with practices to help them understand the importance of correctly using condition codes to estimate patients’ future healthcare costs. Hierarchical condition category (HCC) coding is
In value-based care, it takes a village of professionals to ensure patients are well cared for and practices meet benchmarks. Community health workers are emerging as key players in helping to achieve these goals.