Value-Based Care Contracts

While many OTs work in a fee for service model, the reality is that we are undergoing a seismic shift towards value-based care.

In fact it’s estimated that 238.8 million Americans receive healthcare in a value-based care model. These already large numbers are expected to grow significantly in the coming years.

OTs has tremendous potential in value-based care models.

But, the reality is we are missing the boat.  

That’s because becoming involved in a value-based care model involves a contracting process that can feel complicated. There has been MUCH written to support doctors and other medical providers in the value-based care process, and they are outpacing us.

But, in this live webinar and course we break this information down for OTs. Our favorite value-based care expert, Dana Strauss, is going to walk private practice owner Carlin Reaume through: identifying value-based care opportunities locally, crafting a proposal, and ultimately drafting a contract.

Let’s be honest. This feels dense. But, this is exactly what we need to be learning, and we are here to set you up for success!

Resources mentioned in this episode

1.) Value-based Care Glossary

2.) Supported Mama VBC Proposal — Coming soon

3.) Image imagining the value of perinatal OT — Coming soon

1. You will be able to recognize the basic considerations you need to make when pitching occupational therapy to a value-based care provider.

2. You will be able to identify what a value-based care contract should entail for an occupational therapy provider.

• Intro

• Discussion

  1. Why explore value based care?

  2. How to find value based care opportunities near me?

  3. How do I decide who to reach out to?

  4. What should my proposal entail?

  5. What should I include in my contract?

  6. What are the biggest opportunities in value based care right now?

  7. What are the biggest challenges?

  8. What can we do as an individual and profession to move forward?

• Live Q&A

• Closing

• The implementation of value-based healthcare: A scoping review

• The Quintuple Aim for Health Care Improvement: A New Imperative to Advance Health Equity

• Value-based outcome evaluation methods used by occupational therapists in primary care: A scoping review

It is the policy of OT Potential to disclose any financial and non-financial interest the provider or instructor may have in a product or service mentioned during an activity. This is to ensure that the audience is made aware of any bias of the speaker.

OT Potential pays guest speakers an honorarium for their participation, either directly or to an institution of the speaker's choosing at their request. We invite guests whose expertise often comes from practices, programs, or building products in their field. Where a speaker has a financial interest in the subject of a course, we disclose it below so you can weigh it for yourself.

OT Potential's interest in this topic: We have no financial stake in the payment models discussed in this course, and no business relationship with CVS Health or Aetna.

Speaker interests: Dana Strauss is Senior Director of Public Policy and Government Affairs at CVS Health, where she leads public policy for value-based care and Medicare provider policy. CVS Health has commercial interests in the payment models discussed in this course. Her views are her own and do not represent those of her employer.

Carlin Reaume owns Supported Mama: Pelvic Floor Therapy, a private practice, and has a financial interest in the value-based care opportunities discussed in this course.

Alan Linic hosted this episode and has no financial interest in this topic to disclose.