5 Barriers to Value-Based Care and How to Overcome Them


5 Barriers to Value-Based Care and How to Overcome Them

The shift from volume-based to value-based care has completely transformed the healthcare industry. Value-based care is a form of reimbursement in which providers are paid for care delivery based on the quality of care provided.

Essentially, instead a fee-for-service delivery model, healthcare practices and hospitals focus on overall quality of care and patient satisfaction. Fee-for-performance payment models are raising quality standards, improving patient outcomes, and reimagining care delivery across the board—but for providers, adapting the way they serve patients is easier said than done.

Now, healthcare organizations are tasked with establishing a new organizational structure and are facing multiple challenges during the transition. Here are five of the most common barriers to value-based care that impede efficiency and effectiveness and how healthcare practices can overcome each of them: 

1. Lack of Integration

Interoperability issues have been a growing pain point within the healthcare industry, particularly as technology advances and evolves. For healthcare practices and providers, using different, isolated technology platforms that don’t talk to one another is a significant barrier to value-based care success.

On the other hand, modern, integrated solutions work together seamlessly, introducing new workflow efficiencies and helping providers increase practice revenue despite value-based reimbursement concerns. That means everything—from your electronic health record (EHR) system to your patient engagement software—should be integrated to help you work as efficiently as possible.

The Complete Guide to Simplifying Practice Workflows is a must-have resource  for any practice dealing with complex workflows. Download it here.

2. Outdated Processes

While the majority of healthcare practices have modern workflows powered by technology, some providers are still keeping it old school. Paper health records and registration processes, lack of a patient portal with online appointment scheduling capabilities, and other outdated processes can all hinder progress when it comes to meeting value-based care initiatives.

Ninety percent of providers offer some form of a patient portal. If you’re one of the 10 percent that doesn’t, it’s time to rethink your practice’s technology to better accommodate today’s savvy healthcare consumers. In the digital age, your patients both want and expect a tech-first approach—and if you don’t adapt your processes and offer the convenience they’re looking for, you risk losing them to another provider who can.

3. Limited Resources

In a survey on the future of value-based care, a quarter of respondents said a lack of internal resources was the biggest barrier in place. Short or overburdened staff, insufficient technology, and administrative hassles all contribute to the slow adoption of value-based care.

Fortunately, technology is available to automate manual, time-consuming tasks, minimizing provider and staff burnout and helping healthcare practices work more efficiently. Investing in automation technology to streamline internal processes and work more efficiently will help you reduce operating costs, offer a better patient experience, and even improve the day-to-day work life for your practice staff. 

4. Inaccessible Data

When patient data is inaccessible to healthcare providers, measuring performance is virtually impossible. Today, so many aspects of healthcare are driven by data, from treatment decisions to purchasing and beyond. However, multiple healthcare organizations have trouble collecting and reporting patient information, which makes effective care coordination and preventative medicine incredibly challenging.

To address this barrier to value-based care, practices need access to a strong, integrated EHR solution—but that’s not where it ends. Technology to collect patient-reported outcomes (PROs) and send targeted surveys to various patient populations can help providers identify opportunities to intervene, improve patient outcomes, and enhance the quality of care they provide.

5. Financial Impact

Last, but certainly not least, is the financial impact, which is perhaps the biggest barrier to value-based care adoption. Although remaining profitable and increasing practice revenue was once much easier under fee-for-service payment models, value-based reimbursement is much harder to anticipate in advance.

That’s why healthcare practices need to work toward meeting value-based goals and embrace technology that helps providers and staff work more efficiently. In turn, providers can save on operational costs and increase revenue long-term by focusing on efforts to improve care quality.

Overcoming Barriers to Value-Based Care with Technology

Each of the recommendations outlined above has one common denominator: technology. Modern patient engagement solutions that integrate seamlessly with EHRs and other existing systems can greatly support healthcare practices on their journey to full value-based care adoption. With the right technology and the right approach in place, healthcare practices and providers can face these obstacles head-on and identify the best solutions to overcome them—and provide top-quality patient care in the process.

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