Caring for Patients in Value-based Care

Value-based care models are designed to give you room to flex your coordination and continuity skills to achieve highly effective patient care. Explore care delivery models that emphasize continuity and coordination, plus access toolkits for care management and more.

Jump to a section: Access and Continuity | Care Management and Coordination | Behavioral Health Integration

Featured: Caring for Patients | Free CME for AAFP Members

Learn how to enhance patient care, streamline processes, and improve overall practice efficiency as you successfully transition into a value-based care practice model.

Access and Continuity

When you know how to fully integrate the principles of value-based care into your practice, you reduce the challenges related to optimizing care quality while improving the experience for patients.

Access and continuity in the medical home

See ways to increase access and continuity in your practice and improve outcomes.

Panel size is just a number | FPM

Use a rubric that accounts for things like productivity when opening or closing a panel.

The Right-Sized Patient Panel | FPM

Calculate and adjust your panel with a process and spreadsheet.

Access to Care Topic Collection | FPM

Browse articles on access improvement strategies and challenges like no-shows.

Care Management and Coordination

Learn how to deliver high-quality, cost-effective care while maintaining a patient-centered approach, and get paid appropriately for it, too.

Care Management in the Medical Home

Learn what it is and how to identify patients for this value-driven care model.

Care Management Toolkits

Integrate Medicare's TCM and CCM programs.

Risk Algorithm and Rubric

Access tools that make risk-stratified care effective.

Care Management Financials

Calculate returns or make a business presentation.

Care Management Topic Collection | FPM

Find practical articles on the top categories in care management.

Team strategies for improving risk adjustement

Get tips for risk adjustment coding and learn how you can get your team on board.

Bright Spots Report: Medicare Advantage

Download a report from the Graham Center feauturing successful case studies.

Behavioral Health Integration

The modern healthcare environment places family physicians in a central role essential to improving patient care, including behavioral health integration and value-based care delivery.

Behavioral Health Integration CME Videos

Successfully integrate behavioral health care for better patient outcomes.

BHI Implementation resources

Browse tools and watch a video on integrating the PHQ-9 into practice.

Behavioral Health Topic Collection | FPM

Find practice and collaboration tips to help you improve behavioral health.