Our Care Model - CHI Health, Nebraska (NE) - Southwest Iowa (IA)

CHI Health is moving to a value-based care model, and away from the current fee-for-service model.

In a fee-for-service model of reimbursing providers for health care, providers and health care organizations are reimbursed based on the volume of services provided instead of the outcome. Essentially, they are incentivized to "do" more. Ordering more tests, seeing more patients, and performing more procedures - regardless of medical necessity - results in higher costs. This model, while guaranteeing payment for all services delivered, is not always informed or driven by evidence of better health outcomes.

A value-based payment (reimbursement) system is structured around achieving certain care quality goals for a given population of patients at a pre-determined cost. Value-based care focuses on providing the right care, at the right time, in the right place to achieve the best outcomes for patients at the most affordable cost.

In a value-based care model physicians and hospitals are measured - and paid - for providing better quality care with better patient outcomes. It places more focus on preventive care, to keep people healthy and prevent expensive ER visits and hospitalizations.

Learn More About Value-based Care: