How AccentCare, VNA Health Group operate according to its value-based care strategies

As more and more home health care providers move into the value-based care space, these organizations are committed to multiple fronts to ensure success.

Providers such as VNA Health Group and AccentCare Inc., in particular, illustrate the steps companies are taking to support their value-based care strategies.

In its broadest definition, value-based care means results above costs.

At AccentCare, taking a broader view of value-based care is becoming increasingly important, said Dr. Natalie Pagoria, CMO of Home Health and Innovations at AccentCare, during a panel discussion at Home Health Care News’ VALUE event. this month.

“I like to think about it in a more holistic setting – it’s part of my family medicine training. I do look at the results, but with some modifiers, in themselves, for clinical quality, excellence and experience, on the part of the patient, on the part of our clinician, on the part of our staff, and on the part of our family. ” said Pagoria. “[Plus]really looking at the total cost of care beyond this short period of time in which we are their caregiver. ”

AccentCare is a Dallas-based provider of home health, hospice and personal care services, as well as private nurse and care management services. The company has more than 270 locations in 32 states.

VNA Health Group, for its part, is committed to value-based care through a number of different pathways.

“As a home health agency, I think there are several places where we have succeeded,” said Dr. Steve Landers, CEO of VNA Health Group, during the discussion. – A very important component – a very important useful tool within our partners in the healthcare system, package payments, responsible care and risk models – [that] we focused on how to make sure we coordinate what we do in a way that supports their value-based initiatives. “

Holmdel, New Jersey-based VNA Health Group is one of the largest independent nonprofit home health providers in New Jersey and Ohio.

“[We] they spend a lot of time thinking, “How do we do this in a way that is not ‘used and abused,'” Landers said, noting that home health care providers are sometimes seen as a “gadget” other than a valuable partner.

In terms of value-based care, VNA Health Group also has a contract for virtual home care services only with a managed care plan.

At first glance, value-based care is only a small part of the company’s business. But that doesn’t paint the full picture, the CEO explained.

“In respect of income from any kind of bonus payment or ceiling payment, [it’s] less than 1%, “Landers said. “In the case of activities that are organized within a broader structure, either through primary care, or through risk contracts of our healthcare partners, or through package payment contracts, this is probably 70% of that, which is happening.

Pagoria pointed out that AccentCare has been providing value-based care in some form or way from the beginning.

“We have been really committed to value-based arrangements … from the very beginning of the organization,” she said. “Is it [Bundled Payments for Care Improvement] and get involved in these really early shared savings programs, ACOs. ”

While value-based care arrangements make up only approximately 7% to 10% of AccentCare’s business book, Pagoria stressed that value comes first across the organization.

In terms of return on investment in value-based care, there is one area that stands out for providers.

“Palliative care certainly takes into account the highest consumers, the most vulnerable patients in our population,” Pagoria said. “The ability to provide home services can absolutely reduce the overall cost of care.”

In terms of the industry-wide shift to value-based care, Landers believes the Patient-Managed Grouping (PDGM) model is a good start.

“I think that really creates a more value-oriented service charge system,” he said.

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