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


of insurer payments are tied to some kind of value-based arrangement2


of employers are considering or implementing
high value care strategies2


in annual payments to providers are now tied to value-
based payment3

5 High Value Care (HVC) subject areas

  • Advanced Primary Care (APC)
    Focus on a primary care model that improves health outcomes and drives to value
  • Virtual Care (VC)
    Use digital tools to support access to the right care at the right time
  • High Performance Networks
    Leverage various network structures to better control costs and drive to quality providers
  • Centers of Excellence (COE)
    Utilize high quality providers and facilities that have demonstrated proven outcomes for specific conditions
  • 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:

  • 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
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