Value-Based Healthcare and Payment Models: Including Frontline Strategies for 20 Clinical Subspecialties

This is the book I wish I had written. The jewels inside this manual are the specific tactics–what specifically needs to change in delivering healthcare services in order to bend the cost curve and fulfill our patients needs and expectations. Every example illustrates the key challenge for managers; changing a process in one specialty often means that people in other specialties also need to change what they do. This is about tightening the connections between silos of care to provide more continuously coordinated care.

Value-Based Healthcare and Payment Models is a gem! In the complicated world of payment and delivery system reform, this manual deconstructs the most challenging concepts for the novice yet provides sophisticated insights for even the most seasoned healthcare executive. From leading change, to valuable recommendations for infrastructure, to practical recommendations for specialty-specific engagement Terrell and Bobbitt have created the go-to guide for creating a successful ACO.

As the parent of a soon-to-graduate medical student, I wonder how my son will navigate his professional career through residency and a medical practice that is likely to be very different from the status quo. Fortunately, help is on the way. In Value-Based Healthcare and Payment Models , Bobbitt and Terrell have provided a road atlas for my son and the thousands of other newly minted doctors who will bear the responsibility of completing the transition of healthcare in the U.S. to a value-based system. Not that existing physicians wouldn’t benefit from this work, especially those in the 20 fields of practice where the authors lay out methods and strategies for participating in specific changes in the way that medicine is practiced and paid for.

An expertly written manual that illuminates the path to overcoming the gravitational pull of fee-for-service medicine and transitioning to value-based care delivery. Drs. Terrell and Bobbitt systematically and comprehensively break down the elements of value-based care delivery by key specialties and outline the steps needed to successfully deliver the high-quality, affordable care that purchasers and taxpayers expect, and patients deserve. It’s a tremendously valuable reference guide for every physician and clinician seeking to understand value-based healthcare and how to deliver it. It’s also a must-read for physician and administrative leaders navigating medical groups and care delivery systems toward transformative outcomes and a future that is value-driven.

In Value-Based Healthcare and Payment Models , Dr. Grace Terrell gives deep and actionable advice for physicians and leaders of healthcare organizations making the transition from fee-for-service to value-based care. Based on her extensive personal experience at the forefront of this movement, Dr. Terrell shares a number of useful frameworks for understanding culture change, alignment, clinical redesign, appropriate use of data and technology, and patient engagement. Uniquely, she gives detailed advice for many specialties on how they might practice differently in a value-based world. Like the Washington Manual carried by generations of physicians in their lab coats, this is an essential reference for anyone moving into the brave new world of value-based care.

Most importantly, rather than merely exhorting frontline providers to ‘deliver higher-value care,’ the book gives detailed examples of how physicians in more than a dozen subspecialties as well as multiple types of primary care providers can deliver better care at lower cost. The information on these specialty-specific care models is relevant to all physicians in those specialties, not just those who participate in ACOs, since the care models could be implemented everywhere if appropriate payment supports are available, thereby enabling the largest possible number of patients to benefit from higher-value care.

Dr. Terrell’s deep experience and insight into both the clinical and systemic transformations urgently needed in U.S. healthcare enable a clear, accessible, and important book with guidance for those leading this work. Few others could connect and translate the policy, practice, and operational changes into a useful blueprint. Dr. Terrell makes the complex and ambitious seem achievable.

Terrell and Bobbitt have taken ‘value-based’ healthcare from a faith-based, aspirational concept to practical, realistic implementation designed to effect change. The book is particularly strong on providing clinically relevant approaches to engaging frontline practitioners across many specialties to improve value for their patients. A prodigious effort.

This book serves as the roadmap to value-based care that physicians have been waiting for. It is well-written, organized, and describes in detail how all providers might participate in the healthcare value chain–including specialists who have struggled to identify their role. A must-read for any physician or leader looking to successfully move their ACO or IDN into the future.

This book is essential reading for any policymaker, physician, or administrator who is really trying to consider broad-scale changes that can have a tangible effect on patients. The authors have deftly captured the real elements of value-based care; reading this book should be a requirement for any health care leader. This book is a comprehensive, thoughtful read that encompasses business, politics, science and most importantly, the needs of patients in the United States.

Dr. Grace Terrell has been a visionary leader of value-based care for decades. This book is a practical, useful guide to implement value-based care and should be read by frontline clinicians, physician group and health system leaders, policymakers, payers, and others implementing value-based care models.

Terrell and Bobbitt have written an indispensable guide to moving to value for anyone working in the healthcare industry. A must-read for those interested in the future of the healthcare system.

In all other aspects of our economy and our lives, we take for granted that we pay only for the value we receive. Why is healthcare so different? In Value-Based Healthcare and Payment Models , Grace Terrell, MD, and Bo Bobbitt, two national pioneers in value-based care, share stories and offer pragmatic suggestions as to how clinicians can thrive, not just survive, in a data-driven system that rewards high-quality outcomes. A must-read for primary care and specialty physicians looking for practical guidance from well-respected colleagues who were walking the talk of value-based care long before it was a buzz phrase!

A valuable reference guide for physicians and clinicians seeking to understand value-based healthcare and how to deliver it. It’s also a great resource for physician and administrative leaders navigating the shift toward value-based care delivery, with a focus on how to engage specialists in this journey.

The ambitious title isn’t an overstatement. This truly serves as a manual, helping physicians and provider organizations navigate the complexities of executing a volume-to-value strategy. Simultaneously visionary and practical, Terrell and Bobbitt go well beyond the case for change and challenges to transformation that most focus on, providing tangible approaches for each dimension of the move to value along with a best-in-class guide for the roles that each specialty can play in the future of healthcare. A must-read for anyone who wants to be effective in a more value-oriented healthcare environment—from those leading change at the organizational level to those on the front lines of patient care.

Some healthcare books are about showing what the authors know, or how policies must change, or how normal people can re-create themselves into marathon-running vegans. This timely book is about what physician-led groups of virtually every specialty type should do to thrive in a value-based world, a world that is still birthing, messily, but is clearly here to stay. Written by thoughtful and practical physician leaders who have distilled the chemistry of practice transformation chaos into a manual even economists can understand, this volume makes clear that only physicians can take these lessons to heart and implement them successfully. They should. Soon.

This is a must-read how-to manual for any health professional or administrator seeking to circumvent the deep flaws and perverse incentives (and hundreds of billions of dollars in attendant waste) created by America’s third-party-financed fee-for-service healthcare system. This book codifies years of hard-won practical experience in putting together Accountable Care Organizations by clearly articulating the challenges in assembling such arrangements and providing specialty-specific nuts-and-bolts guidance to physicians on how to make value-based care a reality.

Success in value-based healthcare requires an historic blend of tenacity, collaboration, and evidence-based decision making. No matter the size of the market or its dynamics, with this book, the authors have done their part in capturing the essence of what executives and organizations must consider and implement to transform healthcare delivery within their organization and bring value to their stakeholders. The tenacity and collaboration are up to you!