VBC Newsstand Weekly: "Industry Voices—No risk, no reward: How health plans are helping providers take on more risk in the transition to value-based care" & more!

Serving the Value-Based Care Community

September 9, 2022

Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com

Industry Voices—No risk, no reward: How health plans are helping providers take on more risk in the transition to value-based care

Fierce Healthcare | September 1, 2022

For several years now, the healthcare industry has been slowly but surely inching toward the tipping point of value-based care. While the Health Care Payment Learning & Action Network (HCPLAN) states that just 39.3% of all payments had no link to quality or performance in 2020, the organization also found that only 17.9% of reimbursements flowed through the most sophisticated two-sided risk models built on population-based payment structures. That means approximately 40% of payments are still sitting somewhere in the gap between traditional fee-for-service and advanced levels of risk.

Innovation for all: Adapting patient-facing tools to promote digital health equity

KevinMD | September 7, 2022

More often than not, ground-breaking health care advancements are disproportionately accessible for those who already have favorable social determinants of health. The boom of telehealth and digital health during the pandemic was a necessary shift to bridge the critical access gap while also supporting the public health measures implemented to slow the spread of COVID-19 – but did this change unintentionally widen the health equity gap? During my research, I was surprised to learn about a health equity concept I had never heard of, digital determinants of health (DDOH), born from the traditional social determinants of health (SDOH) model. These include “access to digital resources, use of digital resources for health seeking or health avoidance, digital health literacy, beliefs about potential for digital health to be helpful or harmful...

Rethinking care for the most frail patients

Chief Healthcare Executive | September 4, 2022

Closed loop communication is a defined strategy that’s frequently used in complex environments, such as acute care settings, to reliably exchange critical information quickly and concisely. With this technique, an individual shares information with another person and the receiver repeats the information back and asks any follow-up questions to gain clarity. The person initiating the communication confirms the message has been understood and closes the loop on the interaction. This structured approach ensures key details don’t slip through the cracks. It also serves as an efficient way to verify and cross-check information. What if we applied this same closed-loop strategy more broadly, using the theory behind it to guide how we continuously care for our communities’ frailest patients?

AMA and others make MSSP requests ahead of final rule

Healthcare Finance | September 2, 2022

Ahead of the September 6 comment deadline, the American Medical Association and 10 other provider organizations submitted comments to the Centers for Medicare and Medicaid Services on how the 2023 Medicare Physician Fee Schedule Proposed Rule affects accountable care organization models. The rule, if finalized, would bring several positive changes to the Medicare Shared Savings Program, Medicare’s largest value-based payment model, the organizations said in the September 1 letter to CMS Administrator Chiquita Brooks-LaSure. This includes giving ACOs more time before advancing to the highest levels of risk, providing fairer, more accurate financial benchmarks, positive changes to quality scoring approaches and providing advanced shared savings payments to smaller ACOs that serve underserved populations, the letter said.

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FLASH INTERVIEW

This week's focus: An Environment for Ideation and Peer-Learning

Have a listen!

Each week we showcase one of our solution providers in a 4-5 minute interview and ask them what they bring to the VBC Community and what sets them apart.

Today's guest:

The Institute for Advancing Health Value is a non-profit, peer-learning member organization focused on accelerating the transition to value-based care. The Institute brings together a broad range of healthcare industry leaders who know what it takes to succeed in the value-based care environment. Members come together in collaborative forums to contribute their understanding and experience, learn from and network with one another, and develop resources and tools to make a difference in the VBC world.

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