Value-Based Reimbursement Contract Provalue Endo Enrols Over 4000 Patients And Secures Support Of 47 Healthcare Payers


(MENAFN- EIN Presswire)

PROvalue is the leading digital infrastructure for value-based reimbursement contracts in Europe

18 months after launching the value-based reimbursement scheme, Heartbeat Medicals software is used at 13 sites and sees rising backing by statutory payers

A guiding principle of PROvalue has always been the best possible preparation for transferring digital innovation into routine care and we will launch the next generation of VBR-models this summer.” - Yannik SchreckenbergerBERLIN, BERLIN, GERMANY, April 9, 2024 /EINPresswire / -- Just 18 months after the launch of the value-based quality contract PROvalue , the number of digitally monitored endoprosthetic patients has exceeded 4,000.

Initiated by Heartbeat Medical and Techniker Krankenkasse in 2022, it strives to reduce perioperative and postoperative complications, lower surgery revision rates, improve quality of life, and provide quality-oriented remuneration. Following an expansion to 13 hospitals and 47 health insurance funds, almost 2 percent of all hip, knee and shoulder arthroplasty procedures in Germany will be covered by PROvalue Endo.

A measurable improvement in the quality of life and treatment of policyholders

The objective for all PROvalue programmes is the continuous assessment and improvement of patients' quality of life. To this end, the health insurance Techniker Krankenkasse and the value-based healthcare company Heartbeat Medical initiated a new generation of value-based reimbursement contracts in the field of arthroplasty at the end of 2022, which covers all planned hip, knee and shoulder operations with total or partial joint replacements. The core element of the quality contract is a one-year monitoring period by the treating clinic using a bespoke digital platform.

Patients are continuously, digitally surveyed via the platform by Heartbeat Medical using Patient-Reported Outcomes Measures (PROMs) to allow monitoring throughout the entire treatment pathway. Automated threshold-based notifications allow early adjustments by the care for the patient's benefit.

Heartbeat Medical's preliminary findings from the first 4,000 participants in PROvalue Endo show a response rate of 92 percent and a relevant effect on care. Not only do an average of 15 percent of PROM surveys trigger a threshold-based telephone follow-up by the hospital, but an average of 30 percent of calls also result in additions to the care pathway. This additional care can be in the form of readmission to the hospital, physiotherapy or measures that patients implement themselves can positively affect recovery and health-related quality of life and would remain undetected without PROvalue Endo monitoring.

Real-world evidence platform that maintains data consistency despite its growing and variable user base
Despite its growth to 13 hospitals across all provider types and the additional initiation of the PROvalue Endo Plus programme, which specialises in pain management, the PROvalue programme maintains consistency in the core data sets and threshold automations. This allows granular and risk-adjusted analysis across healthcare sites of different characteristics. At the same time, the accession of numerous health insurance funds, which cover a total of 60 percent of those with German statutory health insurance, enables the creation of a secure and high-quality data pool for the further development of the PROvalue programme and the evaluation of value-based healthcare in Germany by the national Institute for Quality and Transparency in Healthcare (IQTIG).

"One of the guiding principles of PROvalue has always been the best possible preparation for transferring digital innovation into routine care," said Yannik Schreckenberger, founder and Managing Director of Heartbeat Medical. "We are very optimistic about the national evaluation process, but we will also use the time and findings from the growing PROvalue network to launch the next generation of outcome-based reimbursement models this summer."

Background:

- 13 providers specialised in endoprosthetics offer the digital PROvalue Endo programme

- 47 health insurance funds, which cover 60 per cent of people with statutory health insurance in Germany, support the outcome-oriented PROvalue quality contracts

- Quality contracts developed according to §110a Social Code allow individual contractual agreements between health insurance funds and service providers

-Breakdown: baseline measurement to establish the current status followed by an intervention phase

- Current inclusion in the overall project: >4000 patients

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About Heartbeat Medical

Heartbeat Medical is a leading partner for implementing digital Patient-Reported Outcomes (PROs), creating quality real-world data solutions and realising value-based reimbursement schemes. Patient-reported outcomes are collected directly from patients via standardised digital surveys and processed to provide insights into treatment effects and health-related quality of life. By continuously embedding the insights gained from PROs into individual treatment pathways, Heartbeat Medical enables value-based healthcare (VBHC) and value-based reimbursement (VBR) initiatives. Founded in 2014, the company has already digitally supported over half a million patients.

Moritz Neubauer
HRTBT Medical Solutions GmbH
+4915111169218 ext.
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