What value-based care is
Value-based care ties what a provider is paid to how patients do and what their care costs. Fee-for-service pays for each visit, test, and procedure. Value-based contracts instead measure quality results and total spending for a group of patients over a year. Payment then moves up or down based on those results.
The models sit on a spectrum of risk. Pay-for-performance adds bonuses or penalties based on quality scores. Shared savings programs, like the Medicare Shared Savings Program, split savings against a spending benchmark. Two-sided models add shared losses. Capitation pays a fixed amount per patient per month and moves the most risk to the provider.
The daily work is panel management: knowing who is attributed, who has open care gaps, and who needs follow-up after a hospital stay. Rivvi is a HIPAA-compliant AI workspace where staff upload attribution files and payer reports and analyze them in chat. The same workspace runs the outreach through calls, texts, and web chat.