Valued-Based Care Programs
Value-based care programs are designed to reward value and quality by offering innovative payment structures that support the delivery of advanced primary care. These models emphasize the clinician-patient relationship, enhance care for patients with complex chronic needs, and align financial incentives with improved health outcomes. Built on principles from earlier initiatives like Comprehensive Primary Care Plus (CPC+), value-based care models continue to evolve based on feedback from primary care stakeholders.
Goals of Value Based Care Models
Value-based care models aim to improve quality, enhance the patient experience, and reduce healthcare costs. These programs support practices in expanding access to advanced primary care services—especially for patients with complex chronic conditions or serious illness. Care delivery approaches are guided by each practice’s priorities and are designed to encourage patient-centered care that minimizes unnecessary hospital utilization and reduces overall per capita healthcare costs.
Value-based care programs are typically structured around five core primary care functions:
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Access and continuity
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Care management
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Comprehensiveness and coordination
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Patient and caregiver engagement
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Planned care and population health
To promote transparency, simplicity, and accountability, value-based models often include:
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A simplified payment structure that may feature flat visit fees and population-based payments to support flexible, patient-focused care;
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Performance-based incentives, with the potential for both financial bonuses and penalties based on cost and quality outcomes;
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Access to comparative performance data, empowering providers to track progress and continuously improve.
These models are designed to help practices focus on what matters most—improving outcomes and delivering high-value, coordinated care for the patients they serve.
SHARE Daily Reports on Value-based Care Program Beneficiaries
Want to be notified in the last 24 hours of when your patients have been Admitted/Discharged from the emergency department (ED) and Inpatient discharged?
** Please note SHARE will need your clinics attribution list with specific data elements to begin the daily 24-hour report.
SHARE Hospitalization Report Example
