Scaling Patient Engagement Under Value-Based Care

The shift to VBC & what it means for your organization

Value-Based Care (VBC) is reshaping how healthcare operates and gaining momentum across the industry. Instead of relying solely on a traditional fee-for-service model, many providers are now focused on keeping patients healthy through preventative care and proactive engagement. While VBC holds massive potential to improve outcomes and financial performance, scaling it is easier said than done.

The problem is that growing patient engagement is difficult and expensive. Most practices don’t have the staffing or resources to do this manually, leaving them at risk of missing incentives, lower quality scores, and ultimately losing revenue.

Let's explore what it takes to really move the needle under VBC.

The VBC challenge: engaging patients at scale

VBC shifts the focus from treating illness to preventing it. But keeping patients proactively engaged at scale is a major hurdle. Preventative screenings, chronic disease management, and follow-ups are all critical, yet many practices struggle to execute them efficiently.

The challenge? Staffing shortages and limited resources make patient outreach inconsistent, leading to:

• Missed care opportunities that contribute to higher readmissions and lower quality scores.

• Lost reimbursement potential due to gaps in preventive care

• Operational inefficiencies that drain time and resources.

Without a smarter approach, providers risk falling behind.

If you can’t reach them, you can’t keep them healthy

Success in VBC depends on proactive, consistent patient engagement, so what can you do if traditional outreach methods aren’t enough to keep up?

To truly move the needle, organizations need efficient solutions that will ensure every patient receives the right care at the right time. This requires:

• Streamlined, scalable outreach: A system that ensures timely patient communication without adding to staff workload.

• Data-driven patient follow-ups: A way to identify and close care gaps before they lead to missed quality benchmarks or unnecessary hospitalizations.

• Optimized reimbursement strategies: A structured approach that maximizes VBC incentives by ensuring preventative care and chronic disease management efforts are fully captured.

Shifting away from manual or fragmented workflows to automated, data-backed engagement allows providers to create a more sustainable model for long-term VBC success.

How AI bridges the gap in patient engagement

Scaling patient engagement under VBC is where AI-powered tools can make a real impact. AI agents allow you to deploy an infinitely large team to implement the initiatives that make a difference in improving patient outcomes including scheduling annual wellness visits, closing care gaps, checking in on medication adherence, and more.

• Frees up staff for high-value care: AI streamlines scheduling, routine patient outreach and documentation, cutting down on manual tasks so staff can focus on patient care.

• Keeps patients on track: AI automates visit reminders, chronic condition follow-ups, and post-op check-ins, reducing the risk of complications.

• Closes care gaps proactively: AI ensures no patient slips through the cracks by identifying at-risk patients and triggering outreach at the right time.

At the end of the day, reaching patients consistently is the biggest challenge in making VBC work long-term. AI-powered engagement helps providers close care gaps, reduce no-shows, and complete critical visits without overwhelming staff. With the right tools, proactive care becomes efficient, scalable, and a driver of better outcomes for both patients and providers.