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

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.

Read Blog

Symptoms of Chronic Inflammation in the Body: Early Warning Signs Explained

Inflammation is a natural defense mechanism that helps the body fight infections and heal injuries. However, when inflammation persists for months or even years without a clear cause, it becomes chronic. Chronic inflammation can silently damage tissues and increase the risk of serious diseases.

In India, rising cases of lifestyle diseases such as diabetes, heart disease and autoimmune disorders are often linked to long-term inflammatory processes. Recognizing the symptoms of chronic inflammation in the body is essential for early prevention and treatment.

What Is Chronic Inflammation?

Acute inflammation is short-term and occurs in response to injury or infection. Chronic inflammation, on the other hand, is:

Persistent
Low-grade
Often symptomatically subtle
Linked to long-term health conditions

It may occur due to unhealthy lifestyle habits, stress, obesity or underlying disease.

Common Symptoms of Chronic Inflammation

1. Persistent Fatigue

Ongoing tiredness that does not improve with rest may indicate systemic inflammation.

Inflammatory chemicals in the body can interfere with energy production.

2. Joint and Muscle Pain

Unexplained pain, stiffness or swelling in joints may suggest inflammatory conditions such as arthritis.

Pain may:

Last for weeks
Worsen in the morning
Occur without injury

3. Digestive Issues

Chronic inflammation may affect the gut, leading to:

Bloating
Diarrhea or constipation
Abdominal discomfort
Food sensitivities

Gut health and immune function are closely connected.

4. Frequent Infections

A weakened immune response due to chronic inflammation may result in:

Recurrent colds
Slow wound healing
Persistent sore throat

5. Skin Problems

Inflammatory skin conditions include:

Acne
Eczema
Psoriasis
Rashes

Persistent skin issues may reflect internal inflammation.

6. Brain Fog and Mood Changes

Inflammation can affect brain function, causing:

Difficulty concentrating
Memory issues
Irritability
Low mood

Mental and physical health are interconnected.

7. Unexplained Weight Changes

Inflammation may disrupt metabolism, leading to:

Abdominal weight gain
Difficulty losing weight

Obesity itself can further promote inflammation.

Causes of Chronic Inflammation

Common contributing factors include:

Poor diet high in processed foods
Excess sugar intake
Smoking
Alcohol abuse
Chronic stress
Lack of exercise
Sleep deprivation
Environmental pollution

Addressing these factors is essential for prevention.

Diseases Linked to Chronic Inflammation

Long-term inflammation is associated with:

Type 2 diabetes
Cardiovascular disease
Cancer
Autoimmune disorders
Fatty liver disease
Alzheimer’s disease

Early intervention reduces risk significantly.

How to Reduce Chronic Inflammation Naturally

1. Adopt an Anti-Inflammatory Diet

Include:

Fresh fruits and vegetables
Whole grains
Nuts and seeds
Fatty fish
Olive oil

Avoid processed foods and excessive sugar.

2. Exercise Regularly

Moderate physical activity lowers inflammatory markers.

Aim for at least 30 minutes daily.

3. Manage Stress

Chronic stress increases inflammatory hormones.

Practice:

Meditation
Yoga
Deep breathing exercises

4. Improve Sleep

7–8 hours of quality sleep supports immune regulation.

5. Maintain Healthy Weight

Reducing excess body fat lowers inflammation levels.

6. Avoid Smoking and Limit Alcohol

Both habits promote inflammatory responses in the body.

When to Seek Medical Advice

Consult a healthcare professional if you experience:

Persistent fatigue
Joint swelling
Recurrent infections
Unexplained pain
Long-lasting digestive problems

Blood tests such as C-reactive protein (CRP) may help assess inflammation levels.

Chronic Inflammation in the Indian Context

Rapid urbanization, sedentary lifestyle and dietary shifts in India have contributed to increasing inflammatory-related diseases. Public awareness about preventive measures can significantly reduce healthcare burden.

Early lifestyle changes play a crucial role in improving long-term outcomes.

Conclusion

Chronic inflammation may present subtle symptoms such as fatigue, joint pain, digestive issues and brain fog. Although often overlooked, long-term inflammation can increase the risk of serious diseases.

Adopting healthy eating habits, regular exercise, stress management and adequate sleep can help reduce inflammation naturally. Recognizing early warning signs and seeking medical advice when needed ensures better long-term health.

Taking proactive steps today can prevent major complications tomorrow.

References

Indian Council of Medical Research – Chronic Disease Reports
World Health Organization – Non-Communicable Disease Guidelines
National Institute of Nutrition India – Dietary Recommendations
Lancet Global Health – Inflammation Research
Journal of Clinical Medicine – Chronic Inflammation Studies

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