2800 Ponce de Leon Boulevard

Suite 1480

Coral Gables, FL 33134

  • Facebook - GHG
  • LinkedIn - GHG
  • Twitter - GHG
Send Us a Message

© 2017 Genuine Health Group

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.

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.

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.

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:

  • Quarterly bonuses 

  • No enrollment fees

  • Participation in profits

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.

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.

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.

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

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).

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.

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.

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.

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.

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/