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Value-Based Care Model

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The new required competencies for leaders and health care organization boards to move from fee-for-service to value-based care are a broad and deep understanding of:

• Understand What Assuming Risk Means: Risk models differ among Medicare, Medicaid and commercial insurers. Hospitals and health system leaders need to understand the level of risk various models pose and ensure the risk models in which their organizations choose to participate complement each other well.

• Know Your Market: For many health systems, competing effectively under value-based care models may mean creating regional partnerships. Hospital leaders must first determine the number of patients they will need to care for to be profitable under various value-based care models

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