What are value-based payment programs?
Value-based payment programs are healthcare models and reimbursement approaches that focus on delivering high-quality healthcare while controlling costs. Value-based payment programs incentivize healthcare providers to prioritize patient outcomes and the overall value of care over volume of services delivered. These programs typically emphasize performance against quality metrics, risk adjustment coding and support for transition of care/care coordination services.Which EHR features can be used for value-based payment programs?
The following EHR features can help support value-based payment program related workflows. Features with an asterisk need to be manually enabled in your Elation Settings or be turned on by Elation.- Automatic Coding*
- Clinical Reminders*
- MIPS Reporting
- Popular CPT Codes
- Risk Assessment*
- Visit Note Automation
- Visit Note Templates
- Prescription insurance benefits information*
- Carequality integration*
Quick Start Guide
| Incorporate quality reporting CPT/ICD-10 codes in your encounter documentation to ease administrative burden and ensure you get credit for services delivered to your patients |
|---|
| Feature |
| Automatic Coding Automatically adds CPT and/or ICD-10 codes to the billing information section of your visit notes for body mass index assessments, blood pressure recordings, and negative PHQ-9 depression screening results documentation. |
| Popular CPT Codes Store a list of commonly used Category II CPT codes for performance measures in your Popular CPT Codes database to easily add these codes to your encounter documentation. |
| Drive performance in quality measures to improve quality of care |
| Feature |
| Clinical Reminders Reminds you to follow up on certain health conditions based on the patient’s demographics and conditions. Tied to certain Clinical Quality Measures if you are participating in MIPS. |
| MIPS Reporting Track your MIPS program performance and submit your data to CMS for reporting. |
| Define and manage risk tiers within your patient panel |
| Feature |
| Risk Assessment Shows you the level of ‘risk’ assigned to each patient based on the Centers for Medicare and Medicaid Services (CMS) HCC Risk Adjustment Model. |
| Automate documentation for common encounters |
| Feature |
| Visit Note Templates Create templated documentation for common evaluations and procedures (ex. annual exams) to expedite charting. |
| Visit Note Automation Automatically apply Visit Note Templates to visit notes based on the appointment type tied to the patient’s appointment to expedite charting. |
| Improve patient drug therapy experience while reducing the total cost of care of your patient panel |
| Prescription insurance benefits information Use prescription formulary and cost estimate details to make cost effective prescribing decisions for your patients |
| Connect to external patient data sources for a 360 view of your patient’s care delivery |
| Carequality integration Share and query for data from any Carequality-enabled providers |
Video Library
Click here to explore our video library about value-based payment program related features .Related Articles
- Billing Guide- Creating a superbill & coding for your visit
- Billing Guide- Navigating Billing Settings
- Clinical Reminders for Clinical Quality Measures
- Elation’s Carequality Integration Introduction (Beta)
- MIPS (2026) Overview
- Patient List Report Guide- Searching your patient panel
- Prescription Form Guide- Viewing patient prescription benefits
- Problem List Guide
- Risk Assessment Introduction- Risk Assessment Factors (RAF) and Hierarchical Condition Categories (HCC)
- Visit Note Documentation Guide- Using visit note automation for appointments