From Volume to Value: Where Value-Based Care Is Going and What It Means for Case Managers

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The transition from fee-for-service to value-based care continues to reshape how healthcare is delivered, coordinated, and financed. Accountable care organizations and other value-based models increasingly place responsibility on providers not only for individual services, but for the quality, cost, and coordination of care across settings.

This session will examine where value-based care stands today, the direction federal policy is taking, and what these changes mean for case managers. Using current Medicare accountable care initiatives and emerging models as examples, the presentation will explore the growing emphasis on care coordination, transitions of care, beneficiary engagement, quality, data sharing, and management of medically complex patients. The session will connect these policy changes to the practical role of case managers and examine why their work becomes increasingly important as healthcare organizations assume greater accountability for patient outcomes across the continuum of care.

1. Describe the evolution of Medicare value-based care and key trends shaping the continued movement from fee-for-service toward accountable care.
2. Identify how value-based care changes incentives and responsibilities related to care coordination, transitions of care, quality, patient engagement, and management of medically complex patients.
3. Explain the role case managers can play in helping healthcare organizations succeed under value-based care by improving coordination across settings, addressing gaps in care, and supporting better patient outcomes.

1 hour RN, SW, CCM, CNLCP
Social workers will complete a 10-question quiz before downloading the SW CE Certificate.

Alex Bardakh, MPP, CAE, PLC

FREE to Members and Non-Members

NOTE:  This is only Free to Non-members through October 31.  All actions must be completed by October 31 to earn CEs, including completing the presentation, evaluation, and download certificate.  Social workers must also complete their quiz by October 31.  Beginning Nov 1, any incomplete sessions will no longer be free to Non-Members.  Learners will need to pay to complete any required CE activity that was not completed by October 31.