Wednesday, June 04 | Care Coordination, EHR Solutions and Operations, Interoperability, Post-Acute Care, Value-based Care

Powering Value-Based Care with Connected, Intuitive Technology

By Hannah Patterson, VP and GM, Care at Home

Imagine you're in Aaron's shoes. As the chief operating officer of a home health agency newly participating in a value-based payment model, he's staring at the monthly outcomes report and noticing familiar gaps. Emergency room visits are trending up. Documentation is missing, lacking critical information and incomplete. Some patients haven't been seen in over a week. The responsibility to improve outcomes and reduce costs without adding more hours to an already stretched workforce falls squarely on his shoulders.

The shift to value-based care brings a wave of new expectations. It's no longer just about delivering care; now it's about proving it. Aaron quickly realizes that spreadsheets and disconnected systems won't get him where he needs to go.

What he needs is a partner who understands the operational challenges of post-acute care and can offer more than just another piece of technology. He's looking for tools that fit into the workflows of everyone - clinicians, intake, physicians, billers - and that can support evolving payer requirements, while enabling near real-time action on data.

By choosing a technology partner to help with value-based care, Aaron can employ solutions aimed at reducing hospital readmissions, decreasing documentation time per visit and raising staff satisfaction scores.

What value-based care requires and why many agencies feel unprepared

The goals of value-based care are clear: coordinate care across providers, improve quality, improve patient experience, lower costs and align payment with outcomes. But achieving those goals in a home-based setting presents unique hurdles.

Agencies must:

  • Track performance measures like hospitalizations, medication adherence and timely visits
  • Document accurately and completely to meet reimbursement criteria
  • Share data across systems to support care transitions
  • Coordinate teams and services across the continuum
  • Ensure coordinated care infrastructure & IT systems

Most post-acute providers weren’t designed to support the variables needed to be successful in delivering care in a value-based care arrangement. Many still rely on fragmented tools, manual workflows or paper-based processes. And while these systems may keep the lights on, they don’t help an organization grow under value-based care.

What forward-thinking technology makes possible

Value-based care isn’t just a clinical initiative. It’s an operational one. Providers need technology that closes gaps, removes friction and enables proactive decision-making. Here’s what that looks like in action:

One source of truth
A unified patient record lets the care team work from the same near real-time information. It reduces duplication, eliminates paperwork and supports continuity between services whether it’s home health, hospice or palliative.

Smart coordination
Visit planning and resource allocation can be optimized with near real-time visibility into staff availability, patient acuity and scheduling preferences. Teams can respond quickly to changes in condition or priority, reducing delays in care.

Built-in compliance support
Performance under VBC models hinges on documentation. Forward-thinking systems provide built-in prompts and workflows to help clinicians stay compliant with required visit frequencies, clinical protocols and outcome measures.

Actionable analytics
Leaders need more than reports. They need insights. With predictive analytics, organizations can identify at-risk patients, benchmark performance and plan staffing strategies that align with expected outcomes.

Technology should fit into your world not the other way around

For Aaron, transformation didn’t mean replacing his team’s way of working. It meant enhancing it. The technology that helped his agency succeed wasn’t built in a vacuum. It was developed with post-acute workflows in mind, in partnership with providers and with the flexibility to scale.

A forward-thinking technology partner understands the clinical, operational and financial realities of value-based care and offers more than just features. They offer strategy, support and alignment with where care is headed.

Closing thought

Value-based care isn’t coming. It’s here. And it’s reshaping how post-acute providers operate. But with the right technology and the right partner, it’s possible to simplify the complexity, stay ahead of regulation and deliver care that makes a measurable difference.

It starts by choosing tools built for your world.

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