• Published on: Nov 06, 2021
  • 2 minute read
  • By: Second Medic Expert

What Is Value-based Care?

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What is value-based care?

Value-based care is a payment system that incentivizes quality and cost outcomes, rather than merely rewarding procedures or volume of care. Value-based care emphasizes patient health outcomes over speed and quantity of services, with incentives to improve both the value and the economics of healthcare delivery.

Value-Based Care (VBC) is an American healthcare payment model in which hospitals, doctors, and other providers are paid based on patient care quality metrics. Value-based care has five core components to create successful systems that serve patients better at a lower cost. First, it includes increasing accessibility of information about the costs and quality of treatment options through an easy-to-navigate "medical marketplace." Second, providers are reimbursed for wellness work critical for detecting disease earlier in its course when treatment often works best -- so long as they accept shared accountability in achieving outcomes.  Value-based care shifts incentives on payment from volume to value. Value is the metric on which you are graded, not volume.

Value-based care is "an approach to health care that emphasizes measurable outcomes, coordinated care, and shared accountability." The idea is that the cost of healthcare should reflect the value it provides.

Value-based care includes incentivizing patients via alternative payment models (APMs) to influence behaviors that lead to patient outcomes. The incentives are not provided directly for the desired behavior but instead are designed to promote the best possible outcomes, which then drives financial savings for all parties involved.

Value-based care or “shared risk” arrangements between healthcare providers have been shown to be much more cost-effective than traditional fee-for-service approaches because they shift some of the financial risks onto providers and away from consumers. Many providers are now seeing value in adopting these new contracts as many stakeholders prefer its approach of shared responsibility for addressing higher costs before passing on the burden along with a downline supplier chain. Value-based care is a method that fuses health care with economics to optimize measurable clinical and economic outcomes while supporting the patient's goals.

Value-based healthcare generates increased value while decreasing costs, an updated approach using a broader set of quality and cost metrics to manage health care decisions. Physicians are compensated not just for providing or ordering a service, but rather on providing improved health outcomes.

Value-based care is the new science behind healthcare. It's about measuring outcomes, not procedures. And it's more than just following guidelines or cutting costs-it means substantially improving quality and lowering cost for about 30% of the population who are both out of control on cost, and “out of care” because they're high risk (the disabled, sick young adults). VBC requires systematic redefinition of patients' goals for care; broader use of cheaper treatments; using results to do what has never been done before--measurement; looking at four major objectives; reducing cost without reducing quality (e.g., by prevention); streamlining delivery through primary rather than specialized providers; making prevention one objective.

Value-Based Care is a strategy that incentivizes healthcare providers to provide the best care possible while reducing unnecessary and costly treatments. Under traditional fee-for-service models, providers get paid for each test they perform and every procedure they perform -- so their incentives are not focused on delivering the most appropriate treatment at the right time. Under value-based care, providers get paid if their patients' health improves - no matter whether hospitals, doctors' offices, or other settings where patients receive care.

Value-Based Care has been proven to reduce readmissions and eliminate unnecessary hospitalizations by 15%. It also reduces costs by 20?cause it's all about targeting what really matters -- service delivery with measurable outcomes for consumers of healthcare services.

Value-based care is a model of healthcare payment in which a clinician does not get paid for the number or type of procedures performed, but rather based on how well they manage a patients' disease. The goal is to incentivize excellent, high-value care by rewarding quality and eliminating insurers' financial incentives to encourage overtesting and overtreatment.

Value-based care is a new term that can be seen as a version of population health management. Value-based care aims to align the incentives of providers and payers with those who bear the most cost from healthcare, which traditionally have been patients.  In other words, value-based care is designed for high-level profit by encouraging preventive practices and sharing resources with community members. The goal is to make a profit off a healthy person rather than unhealthy people seeking treatment for medical emergencies.

It's very much related to prevention and seeks not to reward investments in unnecessary treatments but instead reward solid preventative health practices like diet, exercise, etc.

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Digestive

Digestive System Disorders: Common Causes, Symptoms, and Prevention Tips

The digestive system plays a vital role in overall health by breaking down food, absorbing nutrients and eliminating waste. When this system does not function properly, it can lead to discomfort, poor nutrition and chronic illness. Digestive system disorders are increasingly common due to modern lifestyles, dietary habits and stress. Understanding their causes, symptoms and prevention strategies is essential for maintaining long-term gut health.

Public health research shows that a large proportion of adults experience digestive symptoms at some point in their lives, yet many delay seeking care until problems become severe.

 

What Are Digestive System Disorders?

Digestive system disorders are conditions that affect:

  • the oesophagus
     

  • stomach
     

  • intestines
     

  • liver
     

  • pancreas
     

  • gallbladder
     

They may be temporary or chronic and range from mild functional issues to serious inflammatory or structural diseases.

 

Common Digestive System Disorders

Acid Reflux and GERD

Gastroesophageal reflux disease (GERD) occurs when stomach acid flows back into the oesophagus.

Symptoms include:

  • heartburn
     

  • chest discomfort
     

  • sour taste in mouth
     

  • difficulty swallowing
     

Long-term reflux can damage the oesophagus if untreated.

 

Irritable Bowel Syndrome (IBS)

IBS is a functional bowel disorder.

Symptoms include:

  • abdominal pain
     

  • bloating
     

  • diarrhoea or constipation
     

  • alternating bowel habits
     

Stress and diet often trigger symptoms.

 

Constipation

Constipation involves infrequent or difficult bowel movements.

Causes include:

  • low fibre intake
     

  • dehydration
     

  • sedentary lifestyle
     

Chronic constipation affects comfort and gut function.

 

Diarrhoea

Diarrhoea results from rapid bowel movements.

Common causes include:

  • infections
     

  • food intolerance
     

  • medication side effects
     

Persistent diarrhoea may lead to dehydration and nutrient loss.

 

Peptic Ulcer Disease

Ulcers are sores in the stomach or intestinal lining.

Symptoms include:

  • burning stomach pain
     

  • nausea
     

  • bloating
     

They are often linked to infections or long-term medication use.

 

Inflammatory Bowel Disease (IBD)

IBD includes conditions like Crohn’s disease and ulcerative colitis.

Symptoms include:

  • chronic diarrhoea
     

  • abdominal pain
     

  • weight loss
     

  • fatigue
     

IBD requires long-term medical management.

Common Symptoms of Digestive Disorders

Digestive system disorders often present with:

  • abdominal pain or cramps
     

  • bloating and gas
     

  • nausea or vomiting
     

  • constipation or diarrhoea
     

  • heartburn
     

  • unexplained weight changes
     

Symptoms may fluctuate and worsen with stress or poor diet.

 

Causes of Digestive System Disorders

Poor Dietary Habits

Diets high in:

  • processed foods
     

  • refined sugars
     

  • unhealthy fats
     

strain the digestive system and alter gut microbiota.

 

Stress and Mental Health

Chronic stress affects gut-brain communication, worsening digestive symptoms.

 

Infections

Bacterial, viral or parasitic infections disrupt gut function.

 

Food Intolerances

Lactose, gluten or other intolerances cause digestive distress.

 

Sedentary Lifestyle

Lack of physical activity slows digestion and bowel movement.

 

Medication Use

Certain medications irritate the stomach lining or alter gut flora.

 

Who Is at Higher Risk?

People at increased risk include:

  • individuals with poor diet
     

  • those under chronic stress
     

  • older adults
     

  • people with family history of gut disease
     

  • individuals with sedentary lifestyles
     

Early lifestyle correction reduces risk significantly.

 

Diagnosis of Digestive Disorders

Evaluation may include:

  • medical history
     

  • physical examination
     

  • blood tests
     

  • stool tests
     

  • imaging or endoscopy
     

Diagnosis depends on symptom severity and duration.

 

Treatment Approaches

Medical Management

Treatment varies by condition and may include:

  • acid suppressants
     

  • anti-inflammatory medications
     

  • probiotics
     

  • antibiotics when needed
     

 

Dietary Modifications

  • increase fibre intake
     

  • limit trigger foods
     

  • eat regular meals
     

  • avoid excessive alcohol
     

Diet plays a central role in gut health.

 

Lifestyle Changes

  • manage stress
     

  • exercise regularly
     

  • stay hydrated
     

  • maintain sleep routine
     

Healthy habits support digestive function.

 

Prevention Tips for Digestive Health

Eat a Balanced Diet

Include fruits, vegetables, whole grains and lean proteins.

 

Stay Hydrated

Water supports digestion and prevents constipation.

 

Manage Stress

Mindfulness and relaxation techniques improve gut-brain balance.

 

Be Physically Active

Movement stimulates bowel activity and gut motility.

 

Avoid Smoking and Excess Alcohol

These irritate the digestive tract and worsen symptoms.

 

Seek Early Medical Advice

Early care prevents complications and chronic disease.

 

Long-Term Impact of Ignoring Digestive Problems

Untreated digestive disorders may lead to:

  • nutrient deficiencies
     

  • chronic inflammation
     

  • poor quality of life
     

  • increased disease complications
     

Early intervention is more effective and less invasive.

 

When to Consult a Doctor

Medical advice is recommended if:

  • symptoms persist beyond weeks
     

  • pain is severe
     

  • blood appears in stool
     

  • unexplained weight loss occurs
     

Prompt evaluation ensures safe management.

 

Conclusion

Digestive system disorders are common but often underestimated health issues. Symptoms such as bloating, pain, constipation and heartburn may seem minor initially but can signal deeper problems if ignored. Understanding causes, recognising early symptoms and adopting preventive habits help protect digestive health. With timely care, balanced nutrition and healthy lifestyle choices, most digestive disorders can be effectively managed, allowing the digestive system to function smoothly and support overall wellbeing.

 

References

  • Indian Council of Medical Research (ICMR) – Digestive Health and Nutrition Reports

  • World Health Organization (WHO) – Digestive Disorders and Gut Health Guideline

  •  National Institute of Nutrition (NIN) – Dietary Fibre and Gut Health Researc

  •  Lancet – Gastrointestinal Disease and Prevention Studies

  •  Indian Journal of Gastroenterology – Digestive Disorder Research

  •  Statista – Digestive Health Trends and Lifestyle Factors

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