Providing Flexible Care Delivery Options
The shift to value-based payment (VBP) often focuses on physicians taking on more financial risk. In most VBP arrangements—commercial, Medicare, or Medicaid—the goal is to have more physicians engaged in risk-based payment models to meet the quadruple aim of better health of the patient population, better patient satisfaction, lower cost of care, and better primary care team satisfaction.
Foundational in shifting the health care system to VBP models is the flexibility in health care delivery that allows physicians to provide what the American Academy of Family Physicians (AAFP) refers to as the “quadruple right” of better health care. The AAFP proposes that the quadruple right consists of delivering the right care, to the right patient, at the right time, and in the right location.
In order to achieve the quadruple right, the goals of VBP should be inherently aligned and rely on implementing innovative care solutions. Examples of these solutions include behavioral health integration (BHI) and home-based primary care (HBPC)—concepts that are the focus of this supplement.