Value-Based Programs Overview Clause Samples
The Value-Based Programs Overview clause defines the general framework and objectives for value-based healthcare initiatives within the agreement. It typically outlines the types of programs covered, such as pay-for-performance or shared savings arrangements, and describes how providers and payers will collaborate to improve patient outcomes and reduce costs. By establishing the scope and intent of value-based programs, this clause ensures all parties have a clear understanding of their roles and expectations, thereby promoting alignment and reducing misunderstandings in the implementation of value-driven healthcare models.
Value-Based Programs Overview. Employer’s Covered Persons may access Covered Services from Providers that participate in a Host Blue’s Value-Based Program. Value-Based Programs may be delivered either through the BlueCard Program or a Negotiated Arrangement. These Value-Based Programs may include, but are not limited to, Accountable Care Organizations, Global Payment/Total Cost of Care arrangements, Patient Centered Medical Home and Shared Savings arrangements.