Introduction 

The U.S. healthcare system is in transition — moving from volume to value. In value-based care (VBC) models, providers are reimbursed not for how many services they deliver, but for how effectively they improve patient outcomes and control costs. Yet, for many provider organizations, delivering on this promise remains a daily struggle. 

This shift demands not only new strategies but smarter systems that reduce administrative work, enhance patient engagement, and surface timely clinical insights. 

Why Value-Based Care Matters 

VBC isn’t just a trend — it's becoming a national imperative: 

• Over 60% of healthcare payments are now tied to value-based models or alternative payment arrangements, according to the Health Care Payment Learning & Action Network (HCP LAN, 2023). 

• 75% of healthcare spending is driven by chronic disease — and much of it is preventable with timely intervention (CDC, 2022). 

• Patients with poorly managed chronic conditions are 5x more likely to be hospitalized, increasing overall care costs (American Heart Association, 2021). 

To meet these demands, care teams must be equipped to track longitudinal data, engage patients, and coordinate care proactively. 

Common Barriers Providers Face 

While the goals of VBC are clear, the path is not. Providers consistently cite these operational challenges: 

• High administrative burden

  Physicians spend nearly 50% of their time on EHRs and desk work vs. face-to-face patient care (Annals of Internal Medicine, 2016). 

• Low patient engagement

  Only 1 in 5 patients with chronic conditions report being actively involved in their care plan (NEJM Catalyst, 2021). 

• Lack of actionable insights

  59% of providers say their current tools don’t help them identify which patients need timely interventions (MGMA Stat, 2022). 

• Hospital readmissions

  Roughly 1 in 5 Medicare patients are readmitted within 30 days of discharge, costing over $26 billion annually (CMS, 2023). 

  
  

What an Ideal VBC Platform Must Do 

To support value-based care effectively, technology must go beyond record-keeping: 

• Surface at-risk patients through vitals, risk scores, and history 

• Automate documentation and reporting to meet CMS standards 

• Enable patient outreach and education at scale 

• Track interventions and outcomes in real time 

• Streamline team communication and close gaps in care 

In short, providers need platforms that are designed for outcomes, not just compliance. 

Clinicus: A Platform Built for Value-Based Success 

Clinicus by Sciometrix was developed with these exact needs in mind to be more than a tool, but an intelligent partner in care delivery. 

1. Smarter Monitoring, Smarter Action 

Clinicus captures real-time vitals and behavior patterns, generates alerts when intervention is needed, and surfaces trends that help reduce hospitalizations and escalate care appropriately. 

2. Transparent Outcome Tracking 

Whether it's blood pressure control, weight loss, or glucose stability; Clinicus tracks what matters and shows how your patients are progressing over time. 

3. Seamless Care Coordination 

With shared dashboards, auto-assigned tasks, and integrated communication features, your entire care team stays in sync — without back-and-forth emails or manual tracking. 

4. Engaged, Activated Patients 

Through reminders, two-way messaging, and personalized care plans, patients feel supported and involved which has been shown to increase adherence.

5. CMS-Ready Compliance 

From TCM to CCM and RPM, Clinicus supports standardized workflows, documentation prompts, and performance tracking — helping providers stay aligned with Medicare requirements and quality programs.

Conclusion 

Healthcare is evolving — and success in value-based care depends on more than clinical expertise. It requires tools that amplify that expertise, reduce burden, and bring the right data to the surface at the right time. 

Clinicus bridges the gap between technology and meaningful outcomes — helping providers align their efforts with what truly matters: better care, better health, and a better system.