As the healthcare industry continues to evolve, the shift from fee-for-service to value-based care models presents both significant opportunities and challenges for providers. In our Leadership Spotlight series, we dive into the current and future implications of value-based care with experts at CVS Accountable Care. In our recent conversation with Aria Sameni, SVP of Client Partnerships for CVS Accountable Care, we discussed the major challenges faced by providers transitioning to value-based care and how CVS Accountable Care is addressing these hurdles.
What do you perceive as the biggest challenges faced by providers who are transitioning to value-based care?
When interacting with many of our partners, they often highlight several challenges. Key among these are practitioners not operating at the top of their license, a lack of funds, and a lack of clarity on what value-based care even entails or how to begin the transformation. At CVS Accountable Care, we strive to align visions, clearly outline what the shift to value looks like, and ensure that we invest in the right places to enable a successful partnership.
When providers are working to enhance patient care and outcomes, what factors do you believe are within their control?
The most critical factors for enhancing patient care and outcomes include aligning workflows, incentives, technology, and resources with the goals of the staff performing the work. It’s vital to ensure that everyone in the organization understands their role and how it contributes to driving value and improving patient lives. For example, schedulers should understand the importance of reaching out to high-risk patient populations, and clinicians should have the time to conduct thorough annual wellness visits and manage patients’ care effectively.
What key benefits can healthcare providers expect when partnering with CVS Accountable Care for their value-based care initiatives?
Providers can expect us to analyze the gap between their current state and where they aim to be in value-based care. We invest in the resources needed to help them practice at the top of their license. Our goal is to simplify the work so that providers can focus on delivering the best care possible without worrying about payer specifics or risk tracks. We aim to create a consistent workflow that supports excellent execution in patient care.
How does CVS Accountable Care's partner success model assist healthcare providers in adapting to value-based care?
Our partner success model helps providers stay focused on their essential tasks by creating a centralized point of contact. This model bridges the gap between administrative, clinical, strategic, and financial components, ensuring a seamless transition to value-based care. It’s designed to ensure that every step taken is intentional and diligently aimed at achieving better value for patients and organizations.
What feedback have healthcare providers shared about implementing CVS Accountable Care solutions in terms of patient care, financial performance, and overall satisfaction?
We are proud of the feedback from our provider partners. They appreciate our support in enabling top-of-license practice, which often requires additional resources. Value-based care is an evolving journey, and we continuously refine our model based on what works and what doesn’t. We collaborate closely with our partners to develop roadmaps that detail investment areas and responsibilities, ensuring a true partnership model that helps us achieve the potential of value-based care.
Learn proven strategies to thrive in accountable care in our recent guide book: 10 Secrets to Sustainable Success in Value-based Care.