• Published on: Nov 06, 2021
  • 2 minute read
  • By: Second Medic Expert

What Is Value-based Care?

  • WhatsApp share link icon
  • copy & share link icon
  • twitter share link icon
  • facebook share link icon

What is value-based care?

Value-based care is a payment system that incentivizes quality and cost outcomes, rather than merely rewarding procedures or volume of care. Value-based care emphasizes patient health outcomes over speed and quantity of services, with incentives to improve both the value and the economics of healthcare delivery.

Value-Based Care (VBC) is an American healthcare payment model in which hospitals, doctors, and other providers are paid based on patient care quality metrics. Value-based care has five core components to create successful systems that serve patients better at a lower cost. First, it includes increasing accessibility of information about the costs and quality of treatment options through an easy-to-navigate "medical marketplace." Second, providers are reimbursed for wellness work critical for detecting disease earlier in its course when treatment often works best -- so long as they accept shared accountability in achieving outcomes.  Value-based care shifts incentives on payment from volume to value. Value is the metric on which you are graded, not volume.

Value-based care is "an approach to health care that emphasizes measurable outcomes, coordinated care, and shared accountability." The idea is that the cost of healthcare should reflect the value it provides.

Value-based care includes incentivizing patients via alternative payment models (APMs) to influence behaviors that lead to patient outcomes. The incentives are not provided directly for the desired behavior but instead are designed to promote the best possible outcomes, which then drives financial savings for all parties involved.

Value-based care or “shared risk” arrangements between healthcare providers have been shown to be much more cost-effective than traditional fee-for-service approaches because they shift some of the financial risks onto providers and away from consumers. Many providers are now seeing value in adopting these new contracts as many stakeholders prefer its approach of shared responsibility for addressing higher costs before passing on the burden along with a downline supplier chain. Value-based care is a method that fuses health care with economics to optimize measurable clinical and economic outcomes while supporting the patient's goals.

Value-based healthcare generates increased value while decreasing costs, an updated approach using a broader set of quality and cost metrics to manage health care decisions. Physicians are compensated not just for providing or ordering a service, but rather on providing improved health outcomes.

Value-based care is the new science behind healthcare. It's about measuring outcomes, not procedures. And it's more than just following guidelines or cutting costs-it means substantially improving quality and lowering cost for about 30% of the population who are both out of control on cost, and “out of care” because they're high risk (the disabled, sick young adults). VBC requires systematic redefinition of patients' goals for care; broader use of cheaper treatments; using results to do what has never been done before--measurement; looking at four major objectives; reducing cost without reducing quality (e.g., by prevention); streamlining delivery through primary rather than specialized providers; making prevention one objective.

Value-Based Care is a strategy that incentivizes healthcare providers to provide the best care possible while reducing unnecessary and costly treatments. Under traditional fee-for-service models, providers get paid for each test they perform and every procedure they perform -- so their incentives are not focused on delivering the most appropriate treatment at the right time. Under value-based care, providers get paid if their patients' health improves - no matter whether hospitals, doctors' offices, or other settings where patients receive care.

Value-Based Care has been proven to reduce readmissions and eliminate unnecessary hospitalizations by 15%. It also reduces costs by 20?cause it's all about targeting what really matters -- service delivery with measurable outcomes for consumers of healthcare services.

Value-based care is a model of healthcare payment in which a clinician does not get paid for the number or type of procedures performed, but rather based on how well they manage a patients' disease. The goal is to incentivize excellent, high-value care by rewarding quality and eliminating insurers' financial incentives to encourage overtesting and overtreatment.

Value-based care is a new term that can be seen as a version of population health management. Value-based care aims to align the incentives of providers and payers with those who bear the most cost from healthcare, which traditionally have been patients.  In other words, value-based care is designed for high-level profit by encouraging preventive practices and sharing resources with community members. The goal is to make a profit off a healthy person rather than unhealthy people seeking treatment for medical emergencies.

It's very much related to prevention and seeks not to reward investments in unnecessary treatments but instead reward solid preventative health practices like diet, exercise, etc.

Read Blog
Tuberculosis

Tuberculosis Symptoms and Treatment: Early Signs, Diagnosis, and Recovery

Tuberculosis (TB) is one of the oldest known infectious diseases and continues to be a major public health concern, especially in developing countries. India accounts for a significant proportion of global TB cases, despite advances in diagnosis and treatment. The good news is that tuberculosis is preventable, treatable and curable when detected early and managed properly.

Understanding tuberculosis symptoms and treatment is critical for reducing disease spread, preventing complications and achieving complete recovery.

 

What Is Tuberculosis?

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It primarily affects the lungs (pulmonary TB) but can also involve other parts of the body such as:

  • lymph nodes
     

  • bones and joints
     

  • kidneys
     

  • brain
     

TB spreads through the air when an infected person coughs, sneezes or speaks.

 

Why Tuberculosis Remains a Major Health Issue

According to the World Health Organization and ICMR data:

  • millions of new TB cases are reported annually
     

  • delayed diagnosis increases transmission
     

  • incomplete treatment leads to drug resistance
     

Early detection and treatment are key to TB control.

 

Common Tuberculosis Symptoms

TB symptoms often develop gradually and may be mild in the early stages, leading to delayed diagnosis.

Persistent Cough

A cough lasting more than two to three weeks is a hallmark symptom of pulmonary TB.

The cough may:

  • be dry or productive
     

  • worsen over time
     

  • sometimes produce blood
     

 

Fever and Night Sweats

Low-grade fever, especially in the evenings, is common.

Night sweats that soak clothing or bedding are a classic TB sign.

 

Unexplained Weight Loss

TB increases metabolic demand and reduces appetite, leading to significant weight loss.

 

Fatigue and Weakness

Persistent tiredness and reduced stamina occur due to chronic infection.

 

Chest Pain

Chest discomfort or pain may occur during coughing or breathing.

 

Symptoms of Extra-Pulmonary TB

When TB affects organs outside the lungs, symptoms depend on the site involved and may include:

  • swollen lymph nodes
     

  • bone or joint pain
     

  • headaches or neurological symptoms
     

  • urinary issues
     

 

Why TB Symptoms Are Often Ignored

Many TB symptoms resemble common infections or general weakness.

This leads to:

  • delayed medical consultation
     

  • prolonged transmission
     

  • disease progression
     

Awareness improves early detection.

 

How Tuberculosis Is Diagnosed

Diagnosis involves a combination of:

  • sputum tests
     

  • chest X-ray
     

  • molecular tests such as CBNAAT
     

  • blood tests and imaging for extra-pulmonary TB
     

Early and accurate diagnosis is essential for effective treatment.

 

Tuberculosis Treatment Explained

TB treatment involves a combination of antibiotics taken over a fixed duration.

Standard TB Treatment

For drug-sensitive TB, treatment typically lasts:

  • 6 months
     

The regimen includes multiple antibiotics taken in phases to ensure complete bacterial clearance.

 

Importance of Treatment Adherence

TB bacteria are slow-growing and resilient.

Stopping treatment early can result in:

  • incomplete cure
     

  • relapse
     

  • drug-resistant TB
     

Completing the full course is essential.

 

Drug-Resistant TB

If TB bacteria become resistant to standard drugs, treatment becomes longer and more complex.

Drug-resistant TB requires:

  • specialised medications
     

  • longer treatment duration
     

  • close medical supervision
     

Prevention of resistance depends on correct treatment from the start.

 

Side Effects of TB Treatment

Some individuals may experience side effects such as:

  • nausea
     

  • loss of appetite
     

  • mild liver enzyme changes
     

Most side effects are manageable with medical guidance and do not require stopping treatment.

 

TB and Public Health

TB is not just an individual health issue but a community concern.

Effective TB control requires:

  • early diagnosis
     

  • treatment adherence
     

  • contact tracing
     

  • public awareness
     

India’s national TB elimination programmes focus on these strategies.

 

Preventing Tuberculosis

Preventive measures include:

  • early detection and treatment of active TB
     

  • improving nutrition and immunity
     

  • adequate ventilation in living spaces
     

  • screening close contacts
     

BCG vaccination offers partial protection, especially in children.

 

Living With and Recovering From TB

With proper treatment:

  • symptoms gradually improve
     

  • infection becomes non-contagious
     

  • normal life can be resumed
     

Regular follow-up ensures complete recovery.

 

When to Seek Medical Help

Consult a healthcare provider if experiencing:

  • cough lasting more than two weeks
     

  • unexplained weight loss
     

  • persistent fever or night sweats
     

  • blood in sputum
     

Early action saves lives and prevents spread.

 

Long-Term Outlook After TB Treatment

Most individuals who complete treatment:

  • recover fully
     

  • regain normal lung function
     

  • return to daily activities
     

Long-term complications are rare with timely care.

 

Conclusion

Tuberculosis symptoms and treatment must be understood clearly to combat this preventable and curable disease. Persistent cough, fever, night sweats and weight loss should never be ignored. Early diagnosis, complete treatment adherence and regular follow-up are essential for curing TB and preventing transmission. With proper medical care and public awareness, tuberculosis can be effectively controlled and eliminated as a public health threat.


 

References

  • Indian Council of Medical Research (ICMR) – Tuberculosis Epidemiology and Treatment Guidelines
  • World Health Organization (WHO) – Global Tuberculosis Report
  • National Tuberculosis Elimination Programme (NTEP) – Government of India
  • Lancet Infectious Diseases – TB Diagnosis and Treatment Outcomes
  • National Family Health Survey (NFHS-5) – Infectious Disease Indicators
  • Statista – Global Tuberculosis Burden and Trends

See all

Live Doctor consultation
Live Doctor Chat

Download Our App & Get Consultation from anywhere.

App Download
call icon for mobile number calling and whatsapp at secondmedic