Value-Based Care

For more than two centuries, dentists have practiced in a fee-for-service (FFS) reimbursement environment. It’s a model that incentivizes high-cost, complex procedures and focuses on the volume of care that gets delivered. Put simply, the more you do, the more you get paid.

It’s time for a new approach.

Value-based care (VBC) is a care delivery model in which providers are rewarded for quality health outcomes rather than the quantity of care delivered. In this approach, providers focus on improving the health of a population of patients by offering care that is focused on prevention, best evidence and personalization. This shift allows care teams to maximize “chair time” and productivity and the industry to better integrate with the overall health care system.
Value-based care pie chart showing cost, quality and results

A key driver in the success of value-based care is aligning new payment models that reward care and outcomes and not the volume of services. Today, more than 40 states are working to adopt value-based payment initiatives, up from just 15 in 2014.

In the value-based care model, payers reimburse providers based on the quality of care instead of the volume of care. Already, payers are starting to move away from the outdated FFS model and toward alternative value-based payment models, such as capitation or global payment, bonus and incentive payments, and shared savings models with or without shared risk.

Achieving true value-based care in oral health care won’t happen overnight, but DentaQuest is uniquely positioned to help to drive this change by:
  • Redesigning payment models to reward providers for keeping patients healthy
  • Enabling providers and their dental teams to develop individualized, interactive care plans that allow the patient and their families to play a more active and engaged role in improving their own oral health
White Paper
Oral Health Value-Based Care: The Federally Qualified Health Center Story
A new DentaQuest Partnership and NACHC white paper explores how shifting away from a fragmented dental care provision and into a coordinated, integrated model of health care primes FQHCs to lead transformation into a value-based system.
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Lessons from the Pandemic: What COVID-19 Is Teaching Us About Value-Based Care
Steve Pollock, DentaQuest president and CEO, and Rebekah Mathews, director of value-based care at the DentaQuest Partnership for Oral Health Advancement, lay out how the pandemic has accelerated the need to shift from volume to value.
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Online Course
Oral Health Value-Based Online Learning Series
The Oral Health Value-Based Care series highlights the integration of oral health care into primary health care, the benefits of implementing payment reform and shares stories of VBC transformation in action.
View course »
Value-Based Care Readiness Assessment
To help gauge your readiness for the transition to value-based care, the DentaQuest Partnership for Oral Health Advancement created a readiness assessment that will measure your organization across five domains:
  • Leadership
  • Structure, Systems, Operations
  • Care Pathways and Provider Buy-in
  • Data and Analytic Technology and Personnel
  • Financial Viability and Strength
​Take the free Readiness Assessment Now

Upon completion of the readiness assessment, you will receive a customized competency development guide. The guide is full of resources and additional information to help you and your organization make the shift to value-based care.​

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