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We have significantly more chronic diseases, such as obesity, heart disease, and diabetes. We also spend more on expensive tests, procedures, and prescription medications. We also have a much higher rate of hospitalization and death from preventable diseases.
Value-based care efforts aim to change those dynamics.
Since 1965, our healthcare systems operated on a fee-for-service (FFS) model. Providers and facilities made money based on how much care they provided — like surgeries or office visits — but we didn’t tie those services to outcomes. We didn’t account for whether the care was medically necessary or the patient was healthier as a result.
The Affordable Care Act (ACA) of 2010 shifted the decades-long FFS model to a value-based care (VBC) model. The Centers for Medicare and Medicaid Services (CMS) introduced multiple (and continually evolving) programs to curb unnecessary healthcare costs and improve quality.
At its core, value-based care focuses on:
By now, most organizations are familiar with value-based care. There are hundreds of Medicare Accountable Care Organizations (ACOs) covering millions of Medicare beneficiaries. Many commercial payers are also using VBC models for non-Medicare beneficiaries. The biggest challenge is moving toward VBC while still juggling all the costs and responsibilities (and the ingrained habits) of an FFS model. Medicare reimbursements are already subject to some VBC metrics (which will increase over time) so it’s important that organizations take the necessary steps to get there.
To succeed with VBC, healthcare facilities need:
Language support plays a critical role in improving services and reducing the cost of caring for limited-English proficient (LEP) patients. These individuals make up about 8.5% of the U.S. population — more than 25 million people.
Numerous studies show that LEP patients are at much higher risk of negative health outcomes when they cannot understand information about their care or communicate effectively with providers. The challenges also extend to cultural barriers that prevent someone from getting proper care. Errors are more likely to occur during:
When errors happen, they cause significant patient harm and increase total care costs. Without access to a medically qualified interpreter, LEP patients have:
Organizations that want to increase quality and reduce costs for VBC can immediately impact both by having language support available for LEP patients. Proper language support should include:
GLOBO is a partner that can help you prepare for the shifts that are coming — and the ones that are already here. We offer a wide range of language support solutions to organizations that want to address health disparities and improve care.