Trend #5: Payer and Home-Based Provider Partnering to Reduce the Cost of Care

Increasing Partnership Value to Reduce the Cost of Care

There is enough financial data available to zero-in on reducing the cost of care as an important partnership strategy. All payers want a partner that helps them reduce the cost of care while increasing quality.

The data can be sliced and diced by analyzing Medicare Spending Per Beneficiary, by Medicare spend by age, or highest cost conditions. Let’s look at these examples.

Medicare Spending Per Beneficiary (MSPB)

MSPB is a quality measure for hospitals under the Hospital Value-Based Purchasing program. The measure controls for variation in spending levels due to factors such as patient case mix and geographic differences in Medicare payment levels.