VBC program initiation requires defining program objectives and an evaluation of whether they are feasible for your organization and all partnering organizations. Determining objective feasibility often requires assessments of proposed financial and care delivery models along with your organization’s current state operational and technical capabilities, external stakeholders, and marketplace factors.
VBC program design must focus on the critical success factors necessary to support a sustainable health plan and provider relationship. This includes transparency, aligned financial incentives, financial and strategic sustainability, and commitment to quality and member/patient satisfaction. From a health plan perspective, it is critical that program capabilities are designed to meet the specific requirements to operationalize the program but with the flexibility to expand to future programs.
Monitoring
Enablement
Design
Feasibility
Feasibility
Design
Enablement
Monitoring
VBC programs require new operational capabilities, including new systems and processes and extensions to existing foundational fee-for-service capabilities. Enabling the new collaboration among divisions, people, provider relationship models, and new technological and operational capabilities is vital for a program's success.
Post launch, VBC programs require continuous monitoring and optimization efforts to ensure strategic objectives are met and performance does not atrophy over time