| Perspective shift
Value-based care has become one of the most misunderstood terms in the healthcare industry, according to Lakshmi Halasyamani, chief clinical officer at Endeavor Health. “I think we have to evolve on the health system side — shift from it being based on a contractual relationship to it really being about our promise to the people who we're caring for. And to do that, we really need to understand our populations. We need to understand them clinically, and we need to understand how we get reimbursed. We need to bring those things together to be able to create an ecosystem that provides value,” Halasyamani said. VBC is for everyone
Instead of standing up a separate value-based care division, Endeavor has folded this work into its existing quality and efficiency structures. The idea here was to think about value-based care as a lens that should be applied across all patients rather than a siloed program for a subset of them, Halasyamani stated. The goal is to broadly align clinical outcomes with affordability, including for patients who aren't in a value-based arrangement at all. Halasyamani noted that means factoring in questions that don't always show up on a claims form, like whether a patient can actually afford the treatment they've been prescribed. Sometimes providers lose sight of the fact that they should be fitting a care plan into a patient's actual life, not just their chart, she pointed out. That thinking extends beyond prescription costs to other circumstances shaping a patient's ability to follow through on medical advice, such as whether a patient's neighborhood is even safe to walk during their non-working hours, Halasyamani added. Looking ahead
That's the perspective shift Halasyamani wants to see across the sector — from value-based care as a payment mechanism to value-based care as a genuine understanding of who a patient is outside the exam room. To get there, she thinks health systems will have to invest in data and relationships that go well beyond the traditional medical record. — By Katie Adams |
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