value based care reimbursement

Value-based care reimbursement is transforming healthcare.

Value-based care reimbursement is the future of healthcare in the United States. Traditional fee-for-service reimbursement models pay providers based on the volume of services they deliver, often resulting in increased costs, excessive utilization and fragmented care. Value-based care reimbursement pays providers based on the quality of care a patient receives, promoting a higher level of care coordination and communication that can help to improve patient outcomes, eliminate waste and reduce the cost of providing healthcare.

Transitioning to value-based care reimbursement involves a number of challenges for many organizations. Existing processes and workflows must be substantially transformed, and new technology may be necessary to facilitate the communication and information sharing that value based programs depend upon. For organizations looking for partners and solutions to successfully move to value-based care reimbursement, naviHealth offers leading technology, valuable services and deep expertise.

Solutions for value-based care reimbursement from naviHealth.

naviHealth is a leading provider of expertise, technologies and clinical services for health systems and health plans making the fundamental shift to value driven healthcare. A pioneer in care transitions for more than 18 years, we are uniquely positioned today to help organizations navigate care episodes and value based healthcare delivery while reducing waste, lowering expenses and improving patient outcomes.

Our solutions for organizations transitioning to value-based care reimbursement include:

  • Clinical support services. We offer more than 420 skilled clinicians who can embed with your team or provide telephonic support to help steward patients to the most appropriate next level of care.
  • Scalable technology. Our proprietary solutions for value based payment in healthcare help to drive key metrics such as SNF utilization, PAC level of care, high-quality PAC networks and hospital readmissions.
  • Expert analysis, advanced analytics and flexible reporting. Our advisory and analytics solutions help target areas for potential savings, provide NPRA support, increase provider engagement and measure performance against benchmarks in value based payment healthcare.

An Experienced Partner

We’ve spent more than 18 years pioneering ways to improve every aspect of care transitions for health plans, providers and patients. From discharge planning efficiencies to managing risk for payors and providers, naviHealth is equipped to provide you with a tailored suite of capabilities.

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Benefits of naviHealth solutions for value-based care reimbursement.

Healthcare organizations that rely on naviHealth solutions for value-based care reimbursement are able to:

  • Reduce readmissions by increasing physician engagement and alignment and emphasizing quality of care over volume of episodes.
  • Improve financial results by reducing unnecessary utilization and lowering 90-day episode costs.
  • Improve patient outcomes by coordinating care more effectively and engaging patients and their caregivers in a care plan.
  • Take advantage of revenue opportunities in a value based payment system more effectively.

Learn more about value-based care reimbursement and naviHealth.


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