5 Ways Electronic Specialist Consultations Support Value-Based Care

More and more organizations are moving to value-based care payment models. We expect this trend to continue as The Centers for Medicare and Medicaid rollout new initiatives to improve patient outcomes while managing costs. In this webinar,  Pam Gould, Chief Growth Officer at AristaMD, discusses 5 ways eConsult support value-based care.

1. Help patients avoid unnecessary face-to-face specialty visits
2. Manage your patients in the practice and prevent network leakage
3. Improve patient outcomes impacting quality measures (HEDIS, NCQA)
4. Increase patient satisfaction (CAHPS Scores)
5. Provide better access to patients while managing Social Determinants of Health

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Support for the Transition to Value-Based Healthcare

Part 2: What challenges are driven by the value-based healthcare transition?
With the transition to value-based care come challenges. Primary care practices, particularly smaller practices, must make significant upgrades to their technology. Both to be sure that when they are referring a patient, the patient stays in-network and that the specialist is available to provide care. With the ongoing shortage of specialists, this remains a challenge.

Interoperability

Interoperability has been a challenge in healthcare for many years. To control costs under a value-based payment model PCPs must:

  • Communicate the appropriate patient information when referring to a specialist to:
  • Ensure that an appropriate diagnosis is made.
  • Prevent duplication of diagnostics that increase the cost.

Unfortunately, most EHRs do not ‘talk’ to each other, and even when two providers are on the same EHR, the ability to share information between two practices is often difficult. Appointment scheduling platforms are not always connected to the practice’s EHR and are rarely connected to the scheduling platform of a specialist receiving a referral.