Value-Based Care

Overview

Though value-based health care initiatives have been launched between the nation's health regulators, providers and payers, there have been limited uptake and usage. Some have suggested that limited clinical training in these provider-payer relationships has been the cause of low usage of Value-Based Care (VBC) partnerships. To reduce the translation lag, health care companies are partnering with academic institutions in initiatives related to value-based health care. One of such partnerships is the Humana Institute with a goal to create efficient and effective solutions to detect, better understand and address gaps in health care value, and advance health systems and population health sciences.

Value-based Care in Action

Value-Based Care Specialization Course

A flagship initiative of the Institute is the Value-Based Care (VBC) Certificate Program, which we continue to deliver through Coursera. This publicly available online training prepares clinicians and administrators for VBC reimbursement and operating models, offering health systems science education to health professionals, faculty, students, staff, industry leaders, and community members. The VBC certificate program is comprised of six courses and a capstone project over a 14 weeks period (semester long).

Value-Based Care Specialization Courses
Course	Description
Introduction to VBC and the US Health Care System	Provides introduction to VBC concepts.
Population Health	Addresses population health and related key terms to refine understanding of population health and influencers of health care costs, including non-medical drivers of health.
Managing Processes to Improve Outcomes	Introduces critical office-based processes that a VBC practice must manage in the drive toward improved patient outcomes.
Reimbursement Models	Builds high-level knowledge of the current medical-coding and payment mechanisms of most US health care services. Examines the importance of coding to reflect chronic conditions and other diagnoses accurately and how VBC and value-based payments utilize these measures and data.
Organizational Competencies	Highlights the changes required by an organization to succeed in VBC and value-based payment.
Quality Improvement in Organizations	Explores ways that provider organizations can successfully move from volume to value through implementing quality improvement plans and continuous quality improvement.
Capstone Project	Integrates the work learners have completed in this specialization, allowing them to reflect on their learning and implement a VBC initiative within their organization.

For clinicians, this pioneering specialization equips them with the tools necessary to foster innovative ideas and skills, ultimately enhancing frontline patient care. The current enrollment for the courses stands at 8604 individuals, with an impressive overall course rating of 4.6/5.0. We have successfully secured continuing education (CE) credits for physicians and nurses through the American Academy of Family Physicians. To streamline credit administration and tracking for clinicians engaging in this course as part of their ongoing professional development, we have partnered with CE Zoom.

Value-Based Care Specialization Course

A publicly available online training platform to prepare clinicians and administrators for VBC reimbursement and operating models. The VBC certificate program is comprised of six courses and a capstone project; can be completed in 14 weeks (semester long).

Next step: working with professional bodies to offer CME credit for course.