Value Based Purchasing

Value Based Purchasing 

In the rapidly changing atmosphere of healthcare reform, value based purchasing is emerging as an effective strategy for decreasing healthcare costs, while improving quality outcomes. This course focuses on value based purchasing as it relates to the payer setting. In this course, you will learn about value based purchasing, the need for it within the greater healthcare reform context, current value based purchasing models, and the common goals, benchmarks and measurements that are utilized in value based purchasing.


Hours: 1.00


Certificates provided by accrediting body (1 Match)

Commission for Case Manager Certification


This program has been pre-approved by The Commission for Case Manager Certification to provide 1.00 hours of continuing education credit to CCM® board certified case managers.

Course Details

Course Code: REL-PI-0-VBP
Hours: 1
Type: Online Course
Content Expiration Date: 1/31/2021
Learning Objectives:
Define value based purchasing.
Summarize how value based purchasing fits into the greater context of healthcare reform.
Differentiate between common value based purchasing program models.
Discuss goals, benchmarks, and measurements and their use in value based purchasing programs.

Section 1: Introduction A. About this Course B. Learning Objectives Section 2: General Concepts A. Defining Value Based Purchasing B. Fee-For-Service Models C. The Four Dimensions D. The Healthcare Triple Aim E. Review F. Summary Section 3: Healthcare Reform A. An Unsustainable Cost B. History of VBP C. Adoption of VBP D. The Shift to VBP Programs E. Benefits for Consumers F. Benefits for Providers G. Benefits for Payers H. Review I. Summary Section 4: Common VBP Models A. Various Models B. Modified Fee-For-Service VBP C. Shared Savings VBP D. Population Based VBP E. Bundled Payment VBP F. Review G. Summary Section 5: Goals, Benchmarks, and Measurements A. Goals of VBP B. Benchmarks for VBP Program Design C. Use of Benchmarks in VBP D. Pros and Cons E. VBP Quality Measures F. Modified Fee-For-Service G. Shared Savings and Population Based VBP H. Bundled Payment Measures I. Summing It All Up J. Review K. Summary Section 6: Conclusion A. Summary B. Course Contributor C. Resources D. References E. Congratulations

Instructor: Danyell Jones
Danyell Jones is a recognized leader in the healthcare industry with more than 10 years of diverse experience at the executive level. Ms. Jones has been published in a number of leading healthcare industry magazines and journals, and has been responsible for the development and execution of training programs for some of the nation’s largest Managed Care, Insurer, Provider, and Health System organizations. Disclosure: Danyell Jones has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Advanced, Intermediate level Social Workers; Case Managers; Nurses; in the following settings: All Healthcare Settings.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.