High value care
High Value Care (HVC) means healthcare services that deliver quality care to the patient with an exceptional experience, while also effectively managing costs for the member and the plan.
Mercer brings innovative solutions to improve your cost position and reduce risks, while simultaneously, improving quality and the employee experience.
High Value Care solutions are here and here to stay
5 High Value Care (HVC) subject areas
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Advanced Primary Care (APC)Focus on a primary care model that improves health outcomes and drives to value
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Virtual Care (VC)Use digital tools to support access to the right care at the right time
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High Performance NetworksLeverage various network structures to better control costs and drive to quality providers
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Centers of Excellence (COE)Utilize high quality providers and facilities that have demonstrated proven outcomes for specific conditions
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Reference Based Pricing(RBP)Modify your payment strategy to mitigate unit costs and achieve savings
High Value Care Strategies
The US spends more on healthcare than any other country, but this is not reflected in our health outcomes. While the challenges to reform our healthcare system are big, we can help you drive the healthcare market forward, by utilizing providers who meet cost and quality targets. Together we can be part of the solution.
Experts agree there is enough money in the US healthcare system, but dollars need to be routed toward the highest value services, by ensuring:
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Appropriate Care
Use of low-value services can actually harm patients -
Evidence-based spending
Services should be supported by evidence, not be duplicative, and be truly necessary -
Member affordability
Analyses have found that 20-30% of spending on low-value care is paid by patients leading to unnecessary financial exposure