Value in Care

Value in Care

The COrHT Initiative



Value in Health Care

What is value-based care?

Traditionally, health care systems in the United States have operated on a “fee-for-service” model where financial incentives are tied to the number of procedures performed. In value-based health care systems, payment is tied to health outcomes.

Ideally, value-based care systems aim to improve health outcomes, enhance patient experience, and increase cost-efficiency. Across the country, health care systems, providers, insurers, and even the federal government are beginning to explore value-based care as an alternative structure.

At NCOHC, we are committed to exploring opportunities to advance a more equitable, accessible oral health future for all North Carolinians. That’s why we have partnered with the CareQuest Institute for Oral Health to launch the Community Oral Health Transformation (COrHT) Initiative in North Carolina. The innovative learning community will help gather data and explore value-based care as an opportunity to shift to more prevention-focused, whole-person oral health care.


Community Oral Health Transformation (COrHT)

In order to explore value-based oral health care, NCOHC is proud to launch the Community Oral Health Transformation (COrHT) Initiative with support from the Blue Cross and Blue Shield of North Carolina Foundation and the CareQuest Institute for Oral Health. Through this groundbreaking new initiative, NCOHC will convene a learning community to build infrastructure and advance prevention-focused, value-based, whole-person oral health care. The learning community will embrace CareQuest Institute’s “Three Domain Framework,” which focuses on 1) tele-prevention (teledentistry); 2) minimally invasive care (non-surgical treatment of disease); and, 3) integration of oral health with overall health care, care delivered based on patient risk profile, and alignment of provider and patient values.

The COrHT initiative aims to prioritize a prevention-centric approach that will enhance patient experience, improve outcomes, and ultimately increase cost-efficiency.

COrHT will bring together stakeholders from across North Carolina who believe healthy people and healthy communities are interconnected and that oral health is a vital part of whole-body health. Beyond its immediate impact in driving the conversation, COrHT is designed to support a longer-term policy change agenda seeking to influence payers’ interest in a shift to value-based care in oral health.

You can find a full list of stakeholders involved in the COrHT steering committee and task force here


COrHT Launch Convening

On Friday, July 15, 2022, NCOHC and the CareQuest Institute for Oral Health officially launched the COrHT initiative in NC along with an outstanding group of providers, health administrators, and other partners. You can view the full event recording here:


The Three-Domain Framework


What Questions Do You Have?

Ask us any question you may have about the COrHT Initiative. When we have your questions, we’ll publish an FAQ section on this page to help you navigate the ins and outs of value-based care.