An Overview of Value Based Healthcare and how it can generate revenue for your lab
An Ever Changing World
With the shift of health care going from a traditional fee-for-service model to value-based system it requires a completely different method for labs to help clients improve their quality of care, expedite their workflow, and maintain revenue. Weather you’re a hospital, commercial, or outreach
lab it is important that you partner with a company that has the proven track record to help navigate in this new environment.
60 Is The New 40
Statistics show that one in four senior citizens have multiple chronic conditions. On top of this, patients are living longer
as life expectancy continues to increase. As of 2030 over 20 percent of the population is expected to be over the age of 65 placing an increased burden on healthcare, as a result a labs workflow and value will become even more important to maintain a successful businesses.
The New Era
Previously the fee-for-service payment systems was based on the volume
of services. The more tests a lab did ultimately translated to more revenue. There was little reason to optimize the value of tests. More tests does not always equal improved health outcomes for the patient.
This old style of thinking can cause a cycle with ever increasing costs and workloads that can fail the patients seeking treatment. In 2015 the government created the Medicare Access and CHIP Reauthorization Act (MACRA) with the goal of moving aware from a fee-for service system to a value-based care system. In the new system Medicare calculates reimbursements and incentives based on data and metrics surrounding the overall health of patient populations, or on individual episodes of care for a given patient rather than on the amount of tests or services provided.
APEasy Integration with MARCA/MIPS
APEasy Cloud is here to help you integrate with the value-based system of healthcare. We fully interface to export all results needed for qualifying labs to take full advantage of MARCA and MIPS incentives. For more information or to schedule a demo click here or give us a call at 1-800-647-2263