Value-Based Care

 

More and more reimbursement models reward doctors for providing quality over quantity when it comes to delivering patient care. That’s what value-based care is all about, and Genuine Health Group is demonstrating itself as a leader in value-based care, helping physicians likewise transition to the future and embrace the opportunities value-based care offers.

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Genuine Health Group believes in delivering care with compassion and competence. By applying our value-based care model, we help value-based participating physicians produce the best medical outcomes at the most reasonable cost.

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With this philosophy in mind, our company has partnered with nearly 200 South Florida primary care physicians to transition toward value-based care, including improving quality of care, increasing patient engagement, and measuring outcomes – all hallmarks of adopting value-based care. Learn more below.

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Advantages Of Value-Based Care

 

When doctors contemplate adopting value-based care, they’re likely to ask, “what’s best for my practice?” and “how can I succeed in this new era of value-based care?” We help primary care physicians move toward embracing value-based care while recognizing their need for maximizing their own personal earnings. That’s why our value-based care programs offer participating doctors:

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• Quarterly bonuses 

• No enrollment fees

• Participation in profits

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Genuine Health Group serves as a single point of contact for moving a practice’s Medicare fee-for-service and Medicare Advantage patients into value-based care payment arrangements.

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Our network of likeminded physicians can participate in two value-based care options: Genuine Health ACO and our management service organization (MSO) for Medicare patients enrolled in certain Medicare Advantage plans.

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Physicians Are Moving Forward With Value-Based Care 

 

Participation in value-based care organizations like ours is growing. Recent statistics demonstrate the number of lives covered by ACO contracts has gone up by almost three million.1 In addition, there was a record-breaking increase in commercial contracts with value-based care components in 2019.

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Participation in ACOs continues to grow and evolve, and now more doctors participate in these value-based care organizations – more than 50 percent of primary care providers. That’s less than a decade after the ACO model was introduced! The highest percentage of physicians in an ACO belonged to a Medicare ACO like Genuine Health Group’s ACO – 38.2%.2

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Making An Impact 

 

Genuine Health Group and its providers are dedicated to demonstrating the positive effects of value-based care – where everyone benefits, including physicians’ support teams. Doctors signed up for our value-based care organizations designated as advanced payment models are not directly responsible for reporting required by the Merit-based Incentive Payment System (MIPS), which is part of the Medicare Access and CHIP Reauthorization Act (MACRA).

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In addition, physicians participating in advanced payment model, value-based care programs don’t have to shoulder the responsibility of measuring and reporting quality outcomes.

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Other Incentives With Value-Based Care 

Physicians who participate in either of our value-based care programs – our MSO or our Miami ACO – earn additional financial incentives for value-based care successes, like increasing patient utilization of annual wellness visits and providing follow-up care to Medicare Advantage members and Medicare fee-for-service beneficiaries who are discharged from the hospital.

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In addition, we offer support for our practices through unique programs like Genuine Health At Home, a value-based care initiative developed to improve outcomes among chronically-ill patients.

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Questions?

 

We’re happy to help you learn more about value-based care and our Miami ACO, as well as other business lines at Genuine Health Group. Contact us here.

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References

1 LaPointe, J. (2019). Driven By Decline in Medicare Contracts, ACO Participation Dips. Retrieved 22 November 2019, from https://revcycleintelligence.com/news/driven-by-decline-in-medicare-contracts-aco-participation-dips

2 Muhlestein, D., Bleser, W., Saunders, R., Richards, R., Singletary, E., & McClellan, M. (2019). Spread of ACOs And Value-Based Payment Models In 2019: Gauging the Impact of Pathways to Success | Health Affairs. Retrieved 7 November 2019, from https://www.healthaffairs.org/do/10.1377/hblog20191020.962600/full/