Guest Column | July 31, 2017

The Future Of Value-Based Care: 5 Years From Now

Videos Provide Sales Tips For Managing Goals, Building Value

By Abhinav Shashank, co-founder and CEO, Innovaccer

About 20 years ago, healthcare in the U.S. cost an average of $2,800 per person. Ten years later, that figure had shot up to $4,700 per person. Over the years, the cost of healthcare has risen as high as $10,345 per person.

At a time when the perceived value of care had dropped, value-based reimbursement arrived. The days of siloed health systems, fragmented care management, and skyrocketing costs are numbered; only because value-based care is becoming a mainstay. There are several innovations on the block, amazing new ways of combining technology with care and a dream of a consolidated, unified healthcare — a bright, optimistic outlook ahead.

Value-Based Reimbursement In The Next Five Years
Ask the average American on the street what they think of healthcare in the next five years. The answers will range from ground-breaking innovations in curing cancer to drug-pricing solutions. However, a common answer everyone looks forward to is value-based reimbursement. The rising costs of care are a concern, the degrading quality of care can’t be accepted, and value-based care seems to be the way out. According to a 2016 survey, 58 percent of payers are moving towards full value-based reimbursement, and 63 percent of hospitals were part of some ACO.

There’s plenty of finessing to be done, but the leaders in value-based care understand the importance of harnessing data, acting on analytics-driven insights, and improving care coordination across the continuum. In the next five years, the focus on quality reporting and pay-for-performance will only increase, realizing the dream of affordable healthcare.

New Ways Of Delivering Care In The Next Five Years
The paradigm of value-based care aims to make care more convenient and responsive. Current healthcare delivery is longitudinal and fragmented with some value-focused delivery options. As the years progress, healthcare systems aim to go beyond the traditional four walls of their practice. In the coming years, healthcare can witness a widespread adoption of new methods of following up, remote monitoring, engaging patients, and delivering care on the go.

Telemedicine, mHealth, wearable technology, and AI-assisted care are revolutionary innovations that have the potential of taking the healthcare world by storm. Technology combined with the human touch will transform the traditional way of delivering care, making care accessible on the go.

Multidisciplinary Care Teams In The Next Five Years
Several experts have stated that, by 2030, care delivery teams will be very different than they are today. Owing to population health management and the push towards end-to-end value-based care, care teams will assume a multidisciplinary role. Even today, to some extent, care delivery has shifted to a more localized, personalized paradigm and the shift seems to go only upwards.

In the coming five years, physicians would mainly work with the very sick while nurses and care coordinators focus on reducing readmissions or bounce-back to ERs and, with the support of nutritionists, therapists, behavioral health specialists, the multidisciplinary care teams can focus on doing what they do best — making people healthy and taking them towards an era of preventive care.

Big Data Opportunities In The Next Five Years
Another development on an upward trajectory is Big Data. The presence of siloed data sets in healthcare was stark and sorting through large amounts of clinical, financial, and administrative data has only been made possible with the advent of Big Data analytics. In the next five years, data analytics — especially predictive analytics — is set to explode. Physicians would be able to identify gaps and miscalculations, and even go on to predict which patients are vulnerable to any health risk in future.

Moreover, as the fragments reduce and healthcare IT determines how to best share and analyze data,  then get that analysis to providers in a timely manner, providers are encouraged and empowered to leverage technology to gain valuable insights, communicate with patients, and bridge the gap to a data-driven healthcare.

Going Beyond The Next Five Years
The future of healthcare is dotted with exciting possibilities ranging from radical cures to seemingly incurable diseases to putting AI to work. In a nutshell, it can be safely said healthcare is driven by the goal to deliver quality care and keep people healthy. In the next five years, there would be an increased ability to deliver quality, improved patient care, and the presence of advanced and innovative systems that deliver the care patients need.

About The Author

Abhinav Shashank, co-founder and CEO at Innovaccer, is an expert in population health management and robust technologies. For the better part of the decade, he has been working to revolutionize healthcare delivery with more than 25 value-focused organizations. He has also authored several articles and write-ups on next generation technology.