Value-based care is a healthcare model used in Medicare Advantage that focuses on proactive, preventive care to address issues early and improve long-term outcomes for patients. It rewards providers for the quality and efficiency of care a patient receives rather than by claims filed for the number of tests or procedures performed.
“Instead of reacting to illnesses, with value-based care, we emphasize prevention, communication, and trust to keep patients healthy longer,” said Dr. Robert Zorowitz, an expert in geriatric medicine and Humana’s Regional Vice President of Health Services. “It often means patients spend more time with their primary care provider and less time in the hospital.”
Coordination with Specialists: In value-based care practices, the primary care provider serves as the quarterback of your care team, coordinating with specialists, nurses, pharmacists, and anyone else involved in your treatment. This coordination helps ensure various aspects of your health are considered and close gaps in care.
Senior-Focused Primary Care: As you age and your health needs change, your care needs may also change. Senior-focused primary care providers are growing across the country to provide value-based care tailored to the unique needs of older adults. A recent study showed that patients in senior-focused primary care organizations had better access to care compared to other types of primary care organizations, like the traditional fee-for-service model.
If you don’t have a primary care provider or are interested in switching, your insurance carrier can help you navigate your care. They can help you find a doctor in your network, which can lower your out-of-pocket costs.
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