Serving the Value-Based Care Community |
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MedCity News | January 23, 2023
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During this past year, momentum has increased to make healthcare more accessible and affordable: Highlights in the realm of increasing accessibility to affordable care and streamlining user experiences include Amazon acquiring primary healthcare provider One Medical; and Walmart inking a deal with UnitedHealth Group to provide care to Medicare Advantage patients at in-store clinics. And in the strongest government steps to date to reduce patient costs for prescription drugs, President Joe Biden signed into law the Inflation Reduction Act. All of these developments are a move toward healthcare that is priced fairly for the value it delivers. |
Physicians Practice | January 20, 2023
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Value-based care has evolved into a healthcare landscape of its own, with a wide range of organizations contributing to systematic changes that improve the quality of care and outcomes while better controlling costs. Providers specializing in value-based care have become attractive to investors and patients because of the distinctive quality of care they can provide and the investable opportunity they present, with a diversity of risk levels and business models. Building on a decade of increasing value-based payment adoption–combined with enhanced value-based capabilities across payers, providers, employers, and other stakeholders–continued traction in the value-based care market could lead to patients and investor confidence as it emerges as a distinct healthcare landscape. |
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CMS recently reaffirmed its goal to have all Medicare beneficiaries and the vast majority of Medicaid beneficiaries in a care relationship accountable for cost and quality by 2030. To advance model transparency and facilitate greater collaboration, CMMI released detailed model data to authorized researchers, including CareJourney (“Research Identifiable Files”). In the weeks ahead, we will explore a number of key priority topics but thought to publish an initial snapshot of the Global and Professional Direct Contracting model (“DCE”) through performance years 2021 and 2022 (data is current through December 31, 2022). |
RevCycleIntelligence | January 12, 2023
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Efforts to make the healthcare system more efficient and equitable by adjusting population-based payments for social risk factors may be missing the mark, suggests a new study from Harvard and Yale. The study published in the latest edition of Health Affairs puts current risk adjustment methodologies under a microscope to find out if they truly support equitable delivery of care. Researchers tied individual-level predictors of social disadvantage (i.e., race, ethnicity, and educational attainment) to the Hierarchical Condition Categories (HCC) model currently used to risk-adjust payments in Medicare Advantage and benchmarks in the Medicare Shared Savings Program. They found that Medicare spending was similar or substantially lower for groups at higher risk of experiencing social disadvantage.
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UPCOMING WEBINARS:
Closing the Gaps: The REACH Model, Population Health, and the Diabetic Eye Exam
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Topic: How point-of-care testing for the diabetic eye exam impacts health equity, quality of care, and SDOH
January 31, 2023 | 1 PM EST
Addressing Social Determinants of Health in Your Community with a
No-Cost Tool
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Topic: SDOH, health equity initiatives, and creating your own health equity strategy to address unmet needs and reduce avoidable admissions
February 16, 2023 | 1 PM EST
Boost Financial Performance By Improving Patient Outcomes
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Topic: A case study for maximizing savings, reducing timelines, and lowering costs by improving patient outcomes
February 23, 2023 | 1 PM EST
RECORDED WEBINARS:
ACOs: Leveraging Expected CMS Payments for a Working Capital Loan
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Topic: Value-based care financing, how expected CMS payments can be leveraged for working capital financing, and a case study demonstrating this program
The Ultimate Guide to APP Reporting for ACOs
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Topic: Understanding and preparing for APP Reporting in 2023, and getting the most out of collected data
Check our our Webinar Archive to view past webinars on a variety of value-based care related topics!
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2023 Virtual Value-Based Payment Summit: Special Edition
Held in conjunction with Health Care Value Week
January 23-27, 2023 | Virtual
RISE National 2023
March 6-8, 2023 | Colorado Springs, CO
ViVE 2023
March 26-29, 2023 | Nashville, TN
2023 Virtual Fourth National Medicare Advantage Summit
April 11-14, 2023 | Virtual
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On occasion, 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:
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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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Platinum Level Exhibitors
Thank you to our Platinum Level exhibitors. These organizations offer the absolute highest quality products & services to the ACO & IPA comty. To learn more & visit their interactive booths, click on the logos below:
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Gold Level Exhibitors
Thank you to our Gold Level exhibitors. To learn more & visit their interactive booths, click on the logos below:
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Our thoughts and prayers are with the people of Ukraine. |
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