As more providers continue to delve deeper into adopting value-based care models, many are seeing their costs go down as outcomes improve. But they are also finding the areas in which the mathematical realities of an economic model don’t always align with the transformation needed to optimize an often unpredictable clinical setting.
The issue comes to a head when dealing with high-risk patients. These are the 10 percent of the patient population that account for 70 percent of health costs, and they create major challenges for providers and their practices which increasingly are being reimbursed based on outcomes. The challenge becomes even greater when these patients leave the hospital.
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