Value-Based Health Care

Health care is changing, shifting from volume to value, emphasizing the importance of keeping patients healthy while rewarding providers for coordinating care and providing appropriate and necessary care to patients.

Value-based health care incentivizes providers based in part on improved health outcomes and keeping their patients healthy — not just on the number of services provided.

While traditional fee-for-service reimbursement models promote the quantity of services provided, state and federal agencies have proposed, and in some cases mandated, value-based reimbursement programs that reward health care providers for the quality of care that they give to patients. Value-based care aims to advance the triple goal of providing better care for individuals, improving population health management strategies, and reducing health care costs.

The advantages of participating in value-based health care:

  • Transforms your practice to promote better care for patients and healthier communities.
  • Provides your practice with an additional revenue stream.
  • Provides your practice with a competitive advantage.
  • Builds partnerships and solidifies referral relationships.
  • Prepares your practice for compliance with state and federal mandates.

Value-based care models center on patient outcomes and how well health care providers can improve quality of care based on specific measures, such as reducing hospital readmissions, using certified health information technology, and improving preventive care.

Join PerformPlus

If you would like more information on the AmeriHealth Caritas PerformPlus® (PDF) suite of value-based incentive programs, please contact your AmeriHealth Caritas New Hampshire Account Executive (PDF) or call Wendy Cutter-Collins, Manager of Value-Based Contracting, at 1-603-657-8924.

Quality Enhancement Program

AmeriHealth Caritas New Hampshire’s Quality Enhancement Program (QEP) for primary care providers continues to provide incentives for high-quality and cost-effective care, excellent member service during office visits, and health data submission.