General

3 minute read

Win physician buy-in for value-based care

Learn how to shape your value-based care messaging with physicians in four practical steps.

Overview

Fresh off sharp declines in fee-for-service volumes last year, many clinical executives I work with are revisiting their value-based care strategy. Whether their organization is new to risk or an early adopter, I’ve been urging these executives to think practically about what these changes in the financing model mean for frontline clinicians.

Physicians often experience value-based care as one-off changes in their clinical practice: another measure to code, a new care team member to work with, a different tool in the EHR. Truthfully, this is the same way that physicians see other strategic priorities manifest in their day-to-day. They encounter the operational changes first, disconnected from the larger strategy and “why.”

To guard against change fatigue, executives have waited to fully bring in physicians until after transforming financial and clinical models. And it’s easy for physician buy-in to become an afterthought when doing the heavy lifting to get your organization ready for risk.

But one of your most important steps as an executive (and also one of the hardest) is to communicate, overcommunicate, and communicate again until every physician can tell you why your organization is taking on risk—and their role in helping move that strategy forward.


Four principles to cement physician buy-in

Below, I’ve outlined four principles that every executive should incorporate into their physician buy-in strategy. While they may sound simple, they take time and energy to do well, and importantly, are iterative. Even the advanced organizations I work with regularly reground in these fundamentals. Leaders should expect to return to these principles again and again over the course of their organization’s transition to risk.

There are many passing fads in health care (remember kiosks?). Don’t let physicians think that value-based care is one of them. Instead, give it permanence, and differentiate risk from other market forces that may come and go. In your messaging, frame value-based care as foundational to the practice of medicine—not a drastic departure from care delivery today.

As one physician leader from ChenMed put it: “Value-based payment models are based on well care for patients: better everyday health and fewer hospital visits.” I don’t think any physician would disagree with that statement or feel like it’s that different from how they care for patients today. (And as we’ve discussed previously, ChenMed’s model is becoming an increasingly compelling one for physicians.)

It’s easy to feel like risk is another thing we’re saying is a strategic priority. But value-based care is often interconnected with other organizational goals like telehealth, team-based care, access, patient experience, and more.

Look for synergies across these initiatives and set a patient-centric vision that explicitly connects them. Not only does this minimize whiplash among physicians, but it also reduces redundancy and streamlines the operational work involved. Now is an important moment to make risk a tenet of your organization’s vision for patient care rather than a standalone initiative.

For executives, taking on risk means changes to payment models, clinical investments, and market strategy. But those things don’t motivate frontline clinicians. While it’s important that physicians are literate in these topics, a 101-overview is enough.

Focus instead on what value-based care means for their day-to-day and show them why it will be better for their practice and patients. In most cases, physicians just want to know how risk will change the way they care for patients and get paid for it. Rather than the 30,000-foot view on risk, give them the 30-foot one.

We know from our engagement research that physicians want insight into organizational strategy and to help advance it themselves. Involving physicians early on in your value-based care journey can be a powerful opportunity to boost employee and leader engagement. Balance one-way clinician-specific updates with opportunities for physicians to get scrubbed in and inform your organization’s approach.

While it can be tempting to wait until you’ve finished the ship to bring physicians along, asking them to help you build it with early and frequent feedback is one of the best ways to improve engagement. Show your work early, often, and yes—ugly.


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AFTER YOU READ THIS

1. You will understand how to craft your value-based care messaging with physicians.

2. You will know what to consider for fee-for-service declines in your organization.

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