Value-Based Care: Quality over Quantity

YES HIM Education

Value-based care is a method of reimbursement that links payments to the quality care provided and rewards the efficiency and effectiveness of providers. This reimbursement form has proven to be a possible alternative fee-for-service repayment model, which retrospectively pays providers for services delivered on the basis of billing or annual service fees. The Medicare & Medicaid Services Centers have introduced a range of valuable care options, such as the Medicare shared saving program and the pioneer accountable care organization models, in order to transform the way healthcare suppliers are reimbursed for services rendered. As a result, private payers have adopted similar accountable, value-based treatment models.

In short, value- based care models focus on the patient's results and the ways in which healthcare providers improve the quality of care using specific measures, such as hospital readmissions reduction and the use of certified IT services. As the ever-transforming healthcare industry takes its next step into pioneering new ways of delivering care, providers are left with one question; how is value-based care different from the traditional model and what are its advantages?

Value Based Care

Using the traditional (fee-for-service) model of reimbursement, healthcare providers are paid based upon the amount of services they administer. Because of this, trends show for more procedures to be performed and a higher number of tests to be ordered, increasing overall health care costs while not necessarily improving health care quality. In response to this, the federal government designed value-based care programs to drive down healthcare costs and potentially improve patient outcomes. 

The new, value-based models encourage providers to use evidence-based medicine, engage patients, utilize health IT as well as data analytics in order to get paid for their services (, 2016).

Types of Value Based Care

For many healthcare providers, value-based care is still a fairly new concept. As with any new process, it goes without saying that it will take some time to become fully understood, accepted and incorporated into the day-to-day workflow. But, with the huge potential to continue to decrease spending and improve quality of care, value-based care is definitely a method that isn’t going anywhere but up in the near future.

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Continuing Education: Employee Retention and Return on Investment

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According to LinkedIn’s 2018 Workplace Learning Report, 94% of employees would stay at a company longer if it invested in their career (, 2018). This staggering percentage is just one major reason why more employers are making continued education in the workplace a top priority. In order to avoid employee turnover, managers are searching for different ways to keep their employees involved and satisfied, professionally.

Employee retention coding education YES HIM

A good initial step to take would be to make continuing education paramount, not just at the entry level, but throughout all levels of the company. In doing this, it is also important to identify training that will contribute to employees’ professional as well as personal growth. Training offered towards skills needed, and new skills of interest to the employee, has a positive impact on the employee’s development and motivation, with reinforced loyalty to the organization. An effective way to gather feedback from employees on training required (and desired) is to poll employees annually with a short survey inquiring what areas of business they would most like to improve in. After finding out the area in which the majority lies, come up with an activity or workshop and dedicate a day out of the month to implementing this into your employees’ schedules. This type of training can also be incentivized, in order to create a culture of accountability and make sure that managers and employees alike are following through with the task. 

Employee development coding education YES HIM

The health information management (HIM) and medical coding industries provide budget friendly resources like national and state level HIM conferences, free webinars with pre-approved continuing education units (CEUs), etc. These tools need as a system that allows team leaders and decision makers to have visibility on training being successfully adopted and implemented, tools that enable trainees to follow through and apply the training gained, resources that show a clear return on investment per training provided.

Employee retention coding and training YEE HIMManagers need to follow up on their team member’s attendance to education seminars, a previous-versus-current state analysis is needed in order to identify a positive or negative impact, online education tools need to provided automated reporting, certifications, and follow upper completed or non-completed course. It’s certain that, providing the right training is essential, but certainly not enough, if a true return on investment is required.

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The Value of Continued Education for Healthcare Professionals

YES HIM Education
As healthcare professionals, continuing education is crucial and an integral part of a successful career. The YES HIM Education LMS Portal allows learners to access courses they register for at any time, and on any device. Learners can access and take courses via pc, laptop, tablet or mobile devices anywhere around the world!

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