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The ACA ushered in the concept of "Value Based Medicine" as opposed to the entrenched, and more costly, "Fee For Service" model which has Americans paying 2X more per capita for HC than any other developed country. While this change definitely benefited patients, it negatively affected some Specialist Physician incomes...including OB/GYNs.

As for BVZ's other claims...Obama got IAEA boots on the ground to VERIFY that Uranium enrichment did not exceed 5% (We now see what Trump's withdrawal from the JCPOA has wrought...)...and a GOP-led Senate Intelligence Committee produced documented evidence of hundreds of liaisons between the 2016 Trump campaign and Russian Operatives...just more "Doublespeak" from Baron.

Here's a summary of "VBM" and "FFS"...
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AI Overview

Value-based medicine is a healthcare delivery model where providers are compensated based on the quality of patient outcomes, rather than the quantity of services provided. It shifts the focus from simply treating illnesses to improving overall patient health and well-being, while also managing costs effectively.
Here's a more detailed explanation:
Key Principles of Value-Based Medicine:
Patient-Centered Care:
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Value-based care prioritizes the patient's individual needs, preferences, and goals.
Evidence-Based Practices:
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Care is delivered using the latest clinical guidelines and research to ensure effectiveness and efficiency.
Integrated and Coordinated Care:
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Healthcare providers collaborate to deliver comprehensive, coordinated care, minimizing redundancies and errors.
Outcome Measurement:
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Regularly monitoring and evaluating patient outcomes is crucial to identify areas for improvement and make necessary adjustments.
Cost-Effectiveness:
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Value-based care aims to improve health outcomes while also managing healthcare costs effectively.

How it Differs from Traditional Fee-for-Service:
Fee-for-service:
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Providers are paid based on the volume of services they provide, regardless of the outcome.
Value-based care:
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Providers are rewarded for achieving positive patient outcomes, such as improved health, reduced chronic disease, and healthier lifestyles.

Benefits of Value-Based Medicine:

Improved Patient Outcomes:
By focusing on outcomes, value-based care can lead to better health and well-being for patients.

Reduced Healthcare Costs:
By managing costs effectively and focusing on preventive care, value-based care can help control healthcare spending.
Increased Patient Satisfaction:

With a focus on patient-centered care and improved outcomes, value-based care can lead to greater patient satisfaction.
Greater Efficiency:

By coordinating care and using evidence-based practices, value-based care can improve the efficiency of the healthcare system.

Enhanced Provider Satisfaction:
By focusing on outcomes and providing better support, value-based care can also improve provider satisfaction.
Examples of Value-Based Care Models:

Medicare Advantage:
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CMS provides financial incentives for Medicare Advantage plans that achieve high quality performance on a set of clinical and patient experience metrics.
Bundled Payments:
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A single payment covers all services related to a specific episode of care (e.g., hip replacement).
Accountable Care Organizations (ACOs):
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Groups of providers collaborate to manage the care of a specific population and share in any savings generated by improving quality and controlling costs.
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