How the HIV care model can inform today’s value-based movement

Stella A. Safo MD MPH, Chief Clinical Transformation Officer, Premier, Inc explains how in a value-based world, we can look to the HIV crisis model for care redesign. 

Editor's Note: This publication originally appeared on Premier, Inc.'s website

It’s no secret that healthcare providers are facing a sea change as fee-for-service care delivery gives way to value-based medicine. This shift to population health management can pose significant challenges. While many healthcare providers have been making quality improvements and succeeding in containing pockets of costs, there remains a need to innovate in how care itself is delivered in a value-based world.

As we approach the commemoration of World AIDS Day on Dec. 1, 2019, it is fitting that we look to the crisis that started almost forty years ago as a model for care redesign.

When HIV/AIDS was discovered, the modern world had not seen an epidemic of such catastrophic proportions.

In the 1980’s, the effects of HIV/AIDs were heartbreaking with most infected individuals dying within 6-18 months of their diagnosis. But today, the life expectancy of HIV-positive individuals has been extended to almost match that of the non-HIV-positive population. The factors that led to this incredible management of a once deadly epidemic can be applied to the current need for healthcare providers to innovate and implement value-based care delivery models.

Looking at the HIV care model, there were three notable components working together to achieve successful population health management.

While many assume that the successes in HIV management are tied solely to the discovery of life-saving medications, the epidemic was – in large part – contained by the application of a carefully designed care model. Click to continue>>  



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