Scaling Value-Based Care in Healthcare: The Role of AI & Analytics
Value-Based Care (VBC) pays providers based on how well patients do and how much healthcare costs. Providers track quality scores, spot risky patients early, and watch spending. Manual review doesn't scale. A physician managing thousands of patients cannot check records fast enough. ACOs managing populations of 50,000 or more cannot process that volume with staff alone. AI and analytics continuously scan data and prioritize who needs intervention. Without these solutions, problems get addressed after they occur instead of before. Impact? It erodes profitability under risk-based payment. What Causes Scaling Value-Based Care To Be Difficult? VBC pays providers based on outcomes, not the number of services delivered. This shifts what organizations must track. Quality performance matters across every patient. High-risk individuals must be found before they generate expensive claims. Clinical approaches must be evaluated for cost-effectiv...
