Value-Based Care

An estimated 41% of people with chronic conditions like COPD, diabetes and congestive heart failure have avoided or delayed medical care, fearing exposure to the virus. By avoiding routine care, your members may be getting sicker and experiencing poorer overall health outcomes, which would then negatively impact your plan’s quality ratings.

When organizations are able to analyze data on these patients’ healthcare activities, but also the social determinants that impact their lives outside of the healthcare system, they can really understand the patients’ barriers to care — and take steps to assemble resources that will improve patient outcomes.

There is plenty of supporting published evidence showing that medication non-adherence has severe consequences for the patient’s health and results in billions of dollars in excess healthcare costs annually.

The problem with data quality goes beyond data entry errors. Patient data erodes at an estimated rate of 3% per month. It’s in a continual state of flux as individuals change jobs, phones, addresses and even their names (marriages and divorces). And you have to reach them, before they will come.

What Comes First – Patient Motivation or Care Management? We’ve all heard the expression “which came first—the chicken or the egg?” In healthcare, the question is “which improves health outcomes first – motivated patients who then participate in care management …