What I found yesterday was not necessarily that deer-in-the-headlights look from the audience, but still a look of skepticism regarding accelerating concept into reality by what we have done over the last four years with value-based care delivery at WMHS. We are living it, but it is really hard for those who have been part of the fee-for-service or volume- based care delivery model for their entire career to understand just how value-based care really works. I tried to assure the group, including a number of folks from outside of Maryland, that it does work and that I would never go back to fee for service. Unfortunately, it doesn't really sink in until they visit with us. Once they see first hand the success that we have achieved in reducing admissions, re-admissions, and use rates; improving quality-based reimbursement and patient satisfaction scores and ultimately providing better care to those patients who are our high utilizers with multiple co-morbidites, they become believers.
As I have blogged previously, we have had a multitude of visitors to WMHS to experience our journey on value-based care delivery; I guess the rest will have to experience it for themselves.