Value-Based Care: Ochsner Health Has Real Hospital Success

Ochsner Health in New Orleans and Its EVP of Value-Based Care, Dr. David Carmouche, Have Had REAL Success with REAL Value-Based Care.
Ochsner Was Able to Have 30,000 Capitated Medicare Advantage Patients Cost $100 Million Less Than a Comparable 30,000 Traditional Medicare Patients.
Treatment Differences for the Medicare Advantage Population Include:
1. Patient Health Risk Assessments
2. In-Home Visits
3. Outpatient Case Management
4. Post-Acute Care Utilization Management
5. Greater Use of Primary Care
Because Ochsner Had Transitioned So Much of Its Care AWAY from Fee-for-Service, They CHANGED the Way They Paid Doctors.
The Primary Care Doctors Were No Longer Paid Based on RVUs, but Instead on the Performance of Their Patient Panels.
Specialists Had a Portion of their Compensation Based on Value Measures Such as Clinical Variability and Unwarranted Care.
The Result: Ochsner Had Its Best Financial Year in 2020 Even with the Decrease in Elective Patient Volume from the COVID Pandemic.
Ochsner's Experience Demonstrates that Healthcare Costs Can Be Lowered in a Financially Viable Fashion by a Hospital System.
Sources:
relentlessheal...
www.ochsner.or...
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