WHEN EVERYTHING SPIRALS OUT OF CONTROL
Alternative Payment Models Help Older Adults Take Charge of Their Health and Slash Medical Costs
Value-based care models reimburse hospitals, health systems, and other healthcare providers based, in part, on care quality and outcomes. These models allow organizations like On Belay Health Solutions in Massachusetts to focus on primary care and prevention, helping patients manage chronic conditions and avoid more costly care down the road.
Marge's story:
Marge hadn’t seen her primary care doctor in a long time, and her physical and mental health was getting worse by the day. She knew going to the doctor regularly was important, but she struggled to find transportation and worried about paying for appointments. By the time Marge sought care, she was in crisis and ended up with an expensive stay in a skilled nursing facility.
The team at On Belay Health Solutions helped Marge transition back into the community and re-connected her with her primary care team, transportation resources, and financial assistance. This tailored case management support was made possible by Medicare’s incentive for value-based patient care.
The result? Marge has lived independently at home for more than a year, and the cost of her care decreased by $24,600. She sees her primary care team regularly, feels empowered to manage her health, and is grateful to the On Belay team for their support.
By focusing on patient outcomes and quality of care, value-based care models allow organizations like On Belay Health Solutions to provide comprehensive case management for patients with chronic conditions. Without continued support for value-based models, patients like Marge might not get the support they need.
This patient story has been de-identified to protect patient privacy consistent with HIPAA – no real patient names are referenced, while the experience described reflects actual events.