A health system’s success in value-based care (VBC) models hinges on providing high-quality care at optimized costs while also enhancing the health of their population. It can seem like an impossible undertaking, but as Bellin Health opens in a new tab found, successful hierarchical condition category opens in a new tab (HCC) code capture can help turn what seems impossible into possible.
The Risk Adjustment Challenge
Bellin Health is a leader in VBC. The health system, based in Green Bay, WI, serves northeast Wisconsin and Michigan’s Upper Peninsula. Bellin’s journey to VBC began in 2012 when they participated in the Center for Medicare & Medicaid Innovation opens in a new tab (CMMI) Pioneer Accountable Care Organization (ACO) program.
While the shift to a value-based payment model felt daunting at first, Bellin Health was confident this transition would improve their understanding of the community they serve. Their decision to step outside the box and welcome change was well worth it since in 2013 Bellin Health became the lowest-cost and highest quality ACO opens in a new tab in the Pioneer program.Full Story opens in a new tab