Value-Based Care Programs

Value-based care programs incentivize healthcare providers for providing high-quality care to Medicare beneficiaries and truly supports the goal of providing better care for individuals, better care for the population, and lowering costs. Value-based programs are important in achieving valued-based care as these programs help providers focus on quality of care, not quantity. A few Alternative Payment Models (APM) include advance care planning as a required quality measure, including BPCI Advanced and the Radiation Oncology Model.

BPCI Advanced

Vynca’s ACP solutions and services are positioned to help your organization maximize quality-based reimbursement for the ACP quality component of BPCI Advanced. By helping you capture end-of-life care preferences for your high-risk, we can help with:
Program Standardization

Program Standardization

Through technology and services, standardize your ACP program to increase the number of ACP conversations and care plans captured.
Identification

Identification

Select those high-risk patients that would most benefit from a timely ACP conversation.
Telehealth

Shared Decision Making

Support collaboration between clinicians, patients, and their loved ones, encouraging active participation in end-of-life medical decisions. Or leverage our clinicians to engage with your patients.
eDocument Completion

eDocument Completion

Clinicians and patients can digitally complete documents anytime, anywhere. This includes eSignature technology that can be leveraged through traditional appointments or telehealth.

Access

Regardless of where the document was completed, they will be digitally available to clinicians in all care settings, patients, and their loved ones.

Reporting

Value driven reports to help you achieve the ACP quality measure!
wallet

Revenue

Increase in-person and telehealth conversations and code drops for ACP CPT codes 99497 and 99498.

Value

Reduce unnecessary ED visits

Reduce unnecessary hospital admissions

Reduce unwanted healthcare utilization

Coordinate care across multiple care settings

Decrease episode of care costs

Maximize reimbursement of the ACP quality component

Achieve shared saving

Radiation Oncology Model

Starting in 2022, the Radiation Oncology Model will be a mandatory model impacting 3,000 zip codes across all 50 states. If you are a physician group practice, a freestanding radiation therapy center, or a hospital outpatient department, you may be included. This model includes four quality measures starting in PY1, with one of the measures being advance care planning. Vynca’s digital ACP solutions and services can help you meet this quality measure by helping you standardize ACP across your organization and helping you increase the number of care plans. We do this by helping you with:
Program Standardization

Program Standardization

Through technology and services, standardize your ACP program to increase the number of ACP conversations and care plans captured.
Identification

Identification

Select those oncology patients that would most benefit from a timely ACP conversation.
Telehealth

Shared Decision Making

Support collaboration between the care team, patients, and their loved ones, encouraging active participation in end-of-life medical decisions.
eDocument Completion

eDocument Completion

Clinicians and patients can digitally complete documents anytime, anywhere. This includes eSignature technology that can be leveraged through traditional appointments or telehealth.

Access

Regardless of where the document was completed, they will be digitally available to clinicians in all care settings, patients, and their loved ones.

Reporting

Value driven reports to help you achieve the ACP quality measure!

Value

Reduce unnecessary ED visits

Reduce unnecessary hospital admissions

Reduce unwanted healthcare interventions at end-of-life

Coordinate care across multiple care settings

Ensure care that is delivered aligns with care plans

Achieve the ACP quality measure

Achieve cost savings

Value-Based Insurance Design

Medicare Advantage Value-Based Insurance Design (VBID) Model is aimed at reducing costs while providing high-quality care to beneficiaries enrolled in Medicare Advantage Organizations (MAOs). While there are currently only 19 MAOs participating in VBID, many more are likely to apply. If you are participating or considering future participation, Vynca’s digital ACP solutions and engagement services can help your organization achieve the required Wellness and Health Care Planning (WHP) component, as well as the optional Medicare Hospice Benefit Component with:
Identification

Identification

Select those beneficiaries that would most benefit from palliative care services and/or hospice.
Telehealth

Shared Decision Making

Support collaboration between beneficiaries and their care team, or leverage our trained clinicians to engage in virtual ACP conversations.
eDocument Completion

eDocument Completion

Easily complete ACP documents, helping you acheive the required WHP component.

Access

Documents are digitally available across all care settings and MAO, ensuring beneficiaries receive care in the most appropriate setting.

Reporting

Monthly reports to help you track and ensure you achieve required ACP, palliative care, and hospice metrics.

Value

Monthly reports to help you track and ensure you achieve required ACP, palliative care, and hospice metrics.

Provide access to high-quality, lower cost care

Promote efficient expenditures

Reduce unnecessary spending on unwanted healthcare utilization

Access to seamless, integrated care across all care settings

Provide care in the most appropriate care setting

Lower out-of-pocket costs for beneficiaries

Check out our whitepaper: “The Importance of Advance Care Planning in the Value-based Insurance Design Model.”

Download Whitepaper
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