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

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.

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World Heart Day: Top 10 Heart-Healthy Foods to Include in Your Daily Diet

As we celebrate World Heart Day, it’s essential to reflect on the health of our most vital organ—our heart. Cardiovascular diseases (CVDs) remain a leading cause of death worldwide, and while genetics do play a role, our diet has an enormous influence on heart health. Fortunately, small changes in what we eat can have a big impact on reducing the risk of heart disease and improving overall wellness. In this blog, we’ll explore the top 10 heart-healthy foods to include in your daily diet. These foods not only contribute to maintaining a healthy heart but also help in preventing heart disease and managing cholesterol levels.

1. Why Your Diet Matters for Heart Health

Our food choices directly affect our hearts. A poor diet can lead to high cholesterol, high blood pressure, and even diabetes—key risk factors for heart disease. Adopting a diet rich in heart-healthy foods can make a substantial difference in heart disease prevention.

In fact, the World Heart Federation emphasizes diet as a critical factor in reducing the burden of cardiovascular disease. But what foods should we focus on? Here’s a list of foods known for promoting heart health.

2. Top 10 Heart-Healthy Foods to Include in Your Daily Diet

1. Oats

A daily bowl of oatmeal is one of the simplest steps you can take to reduce your risk of heart disease. Oats are rich in soluble fiber, which helps lower LDL (bad) cholesterol. Studies show that consuming oats regularly can have a significant effect on cholesterol reduction within just a few weeks.

2. Fatty Fish (Salmon, Mackerel)

Fatty fish like salmon and mackerel are high in omega-3 fatty acids, which reduce inflammation and lower triglycerides. Including fish in your diet at least twice a week is one of the most recommended strategies for improving heart health. Omega-3s help maintain a steady heartbeat and keep your arteries free from blockages.

3. Almonds

Almonds are packed with heart-healthy fats, fiber, and plant sterols that help manage cholesterol levels. A handful of almonds a day can reduce LDL cholesterol and protect your arteries from inflammation. They also contain magnesium, which helps prevent the development of high blood pressure.

4. Avocados

Rich in monounsaturated fats, avocados are known to improve heart health by lowering bad cholesterol levels while boosting good cholesterol (HDL). This fruit is also high in potassium, an essential mineral for controlling blood pressure.

5. Leafy Greens (Spinach, Kale)

Leafy greens are loaded with vitamins, minerals, and antioxidants. The nitrates found in greens like spinach and kale help reduce arterial stiffness and improve blood flow, which in turn lowers blood pressure and promotes better heart health.

6. Berries (Blueberries, Strawberries)

Berries, particularly blueberries and strawberries, are loaded with antioxidants, which help reduce oxidative stress and inflammation. Several studies have linked berry consumption to lower blood pressure and a reduced risk of heart disease.

7. Olive Oil

A staple in the Mediterranean diet, olive oil is rich in monounsaturated fats that reduce inflammation and lower cholesterol levels. Replacing butter or margarine with olive oil can help reduce your risk of heart disease significantly.

8. Legumes (Beans, Lentils)

Beans and lentils are excellent sources of plant-based protein, fiber, and various minerals that help lower blood pressure and cholesterol. Studies show that consuming legumes at least four times a week can lower the risk of heart disease.

9. Tomatoes

Tomatoes are rich in lycopene, an antioxidant linked to a reduced risk of heart disease. Lycopene helps prevent LDL cholesterol from becoming oxidized, a process that contributes to plaque buildup in the arteries.

10. Dark Chocolate (70%+ Cocoa)

Surprise! Dark chocolate, when consumed in moderation, is beneficial for heart health. It contains flavanols, which help improve blood vessel function, lower blood pressure, and increase circulation. Just make sure it’s at least 70% cocoa to maximize the heart benefits.

3. Benefits of Including These Foods in Your Diet

Each of the above foods contributes to heart health in different ways. Whether it’s lowering cholesterol levels, reducing blood pressure, or improving overall cardiovascular function, incorporating these foods into your daily routine can make a significant difference.

For example:

Oats and almonds help lower bad cholesterol.
Fatty fish and olive oil reduce inflammation.
Leafy greens and berries boost antioxidant levels.

4. How to Easily Incorporate These Heart-Healthy Foods into Your Diet

Wondering how to get started? Here are a few simple ideas:

Breakfast: Swap sugary cereals for a bowl of oatmeal topped with fresh berries.
Lunch: Add avocado slices to your salad or sandwich, and drizzle with olive oil.
Snacks: Reach for a handful of almonds instead of chips or processed snacks.
Dinner: Grill some salmon or mackerel, and serve it alongside a fresh spinach salad.
Dessert: Enjoy a small piece of dark chocolate (just a square or two!) after dinner.

5. The Link Between Diet and Heart Disease Prevention

A healthy diet is essential for heart disease prevention. The Mediterranean diet, which emphasizes whole grains, fruits, vegetables, and healthy fats like olive oil, has been shown to reduce the risk of cardiovascular diseases significantly. Moreover, reducing processed foods, sugary drinks, and saturated fats can prevent plaque buildup in arteries, lowering the risk of heart attacks and strokes.

6. Final Thoughts on Eating for a Healthy Heart

Eating for your heart doesn’t have to be complicated. Start small by incorporating one or two of these heart-healthy foods into your diet each week. Over time, these small changes will add up to major improvements in your cardiovascular health. On World Heart Day, take the pledge to care for your heart through mindful food choices.

Remember, what you eat today impacts your heart tomorrow. So, make it a point to prioritize foods good for heart health and build a strong foundation for a healthier future.

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