Advanced specialty care models are proving essential in improving patient outcomes while reducing expenses. By integrating specialized expertise with value-based care, these models focus on high-value interventions and coordinated care, delivering better patient results and more efficient spending.
Organizations adopting these models are seeing tangible savings. Studies have shown that patients in value-based care programs experience fewer hospital admissions and emergency room visits. Similarly, integrated care solutions have yielded significant savings per member per month.
Cardiology has been a key area of focus. Advanced care models reduce expensive hospitalizations by directing patients to specialized cardiologists and utilizing innovative approaches. Medicare Advantage programs, for example, have reported fewer heart failure admissions and notable per-patient savings by avoiding low-value referrals.
Virtual cardiology is also making an impact, expanding access to specialists and enabling proactive monitoring. These models have reduced 90-day cardiac readmissions, highlighting the power of tech-enabled care.
Given the high costs of cancer treatment, value-based oncology care has become critical. By prioritizing evidence-based regimens, these models reduce low-value treatments and their unnecessary associated expenses. Early diagnosis also plays a significant role in cost reduction, as treating early-stage cancer is far less expensive than treating advanced-stage cases.
Nephrology care has also benefited. Integrated care models targeting disease progression have reduced hospital admissions, annual spending, and overall care costs. They have also increased the use of both home dialysis and optimal start times for dialysis.
Advanced specialty care is emerging as a transformative force in the healthcare industry. By leveraging value-based principles and innovative coordination, these models are addressing some of the industry’s largest cost drivers. As the move away from fee-for-service models continues, specialty care will be central to building a more sustainable healthcare system.
For more information on related investment opportunities and insights, please see our Healthcare Mosaic report, Advanced Specialty Care Update: As Acuity and Cost of Care Elevate, So Does Demand for Innovation, or visit our Equity Research Rewind landing page for additional thought leadership.