Value-Based Care: Reimbursement Models

COURSE 4 of 7. This course is designed to help you build high-level knowledge of the current medical coding and payment mechanisms of most U.S. healthcare services, referred to as fee-for-service. You will explore why the fee-for-service model has contributed to higher costs in the U.S. healthcare system without clearly improving health outcomes. You will examine the importance of coding to reflect chronic conditions and other diagnoses accurately and how value-based care and payments utilize th

• Explain fee-for-service medical coding and payment mechanisms and why fee-for-service leads to higher costs without clearly improving outcomes
• Describe the range of value-based payment options from the HCP-LAN Alternative Payment Model framework
• Describe the importance of risk adjustment, quality scores, and patient satisfaction measures in value-based care contracts