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Value-Based Care

Background

An exorbitant amount of federal and state spending on health care, coupled with heterogeneity in health outcomes, has necessitated the shift to VBC, which has slowly been adopted in the last twenty years. However, broad implementation of VBC into health care settings, especially primary care, is limited by a combination of factors, including complicated alternative payment models (APMs), which at times are seen as punitive or extremely risky, limited incentives, ineffective data reporting capabilities, inaccurate diagnosis codes, and inadequate funding for restructuring. Even though value-based payment (VBP) models were introduced by CMS in 2010, less than half (46%) of primary care practices surveyed in 2022 report participation. In the 2021 National Academies of Science, Engineering, and Medicine report, Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care, a comprehensive implementation plan was described: 鈥�1) Pay for primary care teams to care for people, not doctors to deliver services. 2) Ensure that high-quality primary care is available to every individual and family in every community. 3) Train primary care teams where people live and work. 4) Design information technology that serves the patient, family, and interprofessional care team. 5) Ensure that high-quality primary care is implemented in the United States鈥�. In combination with this imperative to train teams and increase adoption of VBC, there has been a growing push to educate medical students and residents about high-value care and VBC. To address these needs, an interdisciplinary team of academics, industry, and subject matter experts created a series of Coursera courses called 鈥淰alue-Based Care Specialization.鈥� This free, 36-hour digital specialization consists of six asynchronous courses: 1) Introduction to VBC and the US Health Care System, 2) Population Health, 3) Managing Processes to Improve Outcomes, 4) Reimbursement Models, 5) Organizational Competencies, and 6) Quality Improvement in Organizations, with an optional capstone project. Learners may complete each course at their own pace, with a typical duration of approximately ten hours over a four-week period.

Study Objectives

  1. This mixed-methods evaluation study aims to assess the impact of the CourseEra Value-Based Care Specialization course on program participants鈥� attitudes and likelihood of practicing VBC.

Project Timeline

  • Data collection occurred from 2024-2025
  • Data analysis was completed fall of 2025
  • Results are currently being disseminated

Scholarly Works:

  • Understanding Learners' Attitudes Towards and Adoption of Value-Based Care (VBC) in Healthcare  
    Summer Chavez, D.O., M.P.H., Tonghui Xu, Ph.D., Laura De La Roche, Ph.D., Andy Rollins, M.S., P.M.P., Alexander Ding, M.D., M.B.A., Sara McNeil, Ed.D and Omolola E. Adepoju, Ph.D., M.P.H. 
  • Factors Influencing Learners' Knowledge and Implementation of Value-Based Care Concepts Postcourse Certification 
    Omolola E Adepoju, Ph.D., M.P.H.,鈥疶onghui Xu, Ph.D.,鈥疉ndy Rollins, M.S., P.M.P.鈥�,鈥疭usie Gronseth, Ph.D.鈥�,鈥疢aycie ElChoufi, M.D.,鈥疐aith Obanua, M.S., P.M.P.鈥�,鈥疭ara McNeil, Ph.D.鈥�