Value-based care drives behavior change, and improves health

Dr. Roy Beveridge, Humana’s Chief Medical Officer, recently spoke with The Pulse, a healthcare journal associated with the Wharton Health Care Business Conference. Dr. Beveridge will be speaking at the conference later this month, on a panel titled “The Other 50% of Health: Bending the Health Care Cost Curve via Wellness & Behavioral Economics.”

The pulse noted these key takeaways from their conversation:

• Payment mechanisms will be the driver behind changes in how the healthcare system approaches basic wellness (e.g., diet, exercise, sleep, stress). As we shift towards value-based care, the whole system has more incentives to promote wellness.

• Payers need stability in the populations they are covering so that there is a financial return to investing in wellness. It’s hard to invest a lot of time and money into someone’s long-term wellness if you’re only insuring them for a couple of years.

• Basic social factors, like your ZIP code or education level, can determine a massive part of your health and wellness, and payers need to partner with civic leaders and community organizations to improve the health of socially-disadvantaged communities.

“I practiced medicine for over twenty years, and I recognize that the engagement of the physician is crucially important,” Dr. Beveridge told the publication. “The medical world has switched from the fee-for-service (FFS) mentality to value-based care (VBC), which means that doctors are no longer paid just for a treatment, but for outcomes. This creates a huge change in doctors’ treatment plans for their patients, including a big focus on educating the patient; for example, helping them understand why taking insulin is important. The payment mechanism is driving this behavior change, and this behavior change is making people healthier.”

Read the entire interview here.

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