Dignity Health exec: Journey to value-based care rooted in payers, providers ‘learning together’

While San Francisco-based Dignity Health was on the cutting edge of value-based care in 2014, it was really creating “clinically integrated vehicles” that both aligned physicians with standardized quality and sparked a push toward value-based care, said Executive Director Kristin Rosemond.

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Since moving from one value-based contract in 2006 to 10 today, the process has involved both internal evolution and side-by-side learning with payer partners, Ms. Rosemond said on “Becker’s Payer Issues Podcast.” 

Below is an excerpt from the podcast. Listen to the full interview here.

Kristin Rosemond: A couple of years ago when we were just starting off in these value-based contracts with the payers, it was new to a lot of the payers as well. So not to stereotype, but historically the payers have a certain way of how they wanted to implement programs or how they were paid for a physician. And so the first few years, we were sort of learning together. 

So we would work with the payer. We’d have a value-based agreement to work on specific quality measures that we agreed to improve on and work on addressing some of the disparities in healthcare. And if there was an opportunity to reduce the total cost, which was part of the  whole purpose, then the physicians would be able to share in that savings. 

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