Serving the Value-Based Care Community
February 3, 2023
Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com
When Colin O’Reilly, DO, FAAP, FACOP, FCCM, makes a social determinants of health referral in his pediatric hospital, he can’t just send the child and family to any social services provider. He has to make sure that social service is completely accessible, both in its physical space and how it serves patients. That’s because O’Reilly works at Children’s Specialized Hospital, a part of RWJBaranabas Health in New Jersey, where he’s the vice president and chief medical officer. Children’s Specialized Hospital delivers care to kids with disabilities and specialized care needs both in its flagship inpatient acute rehab hospital and in its 15 outpatient centers across the state.
articipating in the healthcare system can be a daunting task for anyone. But especially for those in underserved populations. Because healthcare is a necessity, becoming a part of the system is a necessity, as well. Nevertheless, utilizing healthcare services can be problematic and difficult. Even those of us who work as part of the healthcare system and purportedly have an inside track on knowledge and information often have a difficult time navigating the labyrinth. For underrepresented, underserved populations, working through the maze of health insurance plans, co-pays, deductibles, in-network or out-of-network providers and the often prohibitive cost of treatment may thwart the regular use of services that, when there’s easy access, can help lower exacerbation of chronic conditions and lower costs.
If you’re an ACO worried about APP Reporting, we get it. Your concerns about the feasibility and costs of aggregating data from multiple systems are completely valid. But don’t let data complexity hoodwink you into a simplistic solution that will cost you more than the data is worth. Your solution to data aggregation needs to focus on “value,” which means that your data aggregation should also garner the most return for your investment. If you are a one-EHR type of ACO, your data aggregation is relatively straightforward, and the cost will be reasonable. But you’re facing very different challenges if your ACO has multiple practices, both employed and independent, using different systems.
Acknowledging that a lack of alignment across the Centers for Medicare & Medicaid Services’ quality programs has contributed to challenges for clinicians and health insurers, the leaders of several CMS centers are proposing a “Universal Foundation” of quality measures that will apply to as many CMS quality-rating and value-based care programs as possible. Published Feb. 1 in the New England Journal of Medicine, the essay’s authors include Douglas B. Jacobs, M.D., M.P.H.; Michelle Schreiber, M.D.; Meena Seshamani, M.D., Ph.D.; Daniel Tsai, B.A.; Elizabeth Fowler, Ph.D., J.D.; and Lee A. Fleisher, M.D. The authors note that across 20 quality programs, although some of its quality measures are consistent, many are not. They note that other insurers often use the same quality measures as CMS to adjust clinician reimbursement as part of value-based arrangements...
Sponsored Webinars
UPCOMING WEBINARS:

Addressing Social Determinants of Health in Your Community with a
No-Cost Tool
  • Topic: SDOH, health equity initiatives, and creating your own health equity strategy to address unmet needs and reduce avoidable admissions
Sponsored by: CareSignal
February 16, 2023 | 1 PM EST

Optimizing 2024 early renewal, track and participant selection
  • Topic: Helping ACOs make PY2024 decisions for early renewal, track and participant selection, considering the rule changes in the 2023 Medicare Physician Fee Schedule
Sponsored by: Validate Health
February 22, 2023 | 1 PM EST

Boost Financial Performance By Improving Patient Outcomes
  • Topic: A case study for maximizing savings, reducing timelines, and lowering costs by improving patient outcomes
Sponsored by: Healthjump
February 23, 2023 | 1 PM EST


RECORDED WEBINARS:

Closing the Gaps: The REACH Model, Population Health, and the Diabetic Eye Exam
  • Topic: How point-of-care testing for the diabetic eye exam impacts health equity, quality of care, and SDOH
Sponsored by: Topcon Healthcare

ACOs: Leveraging Expected CMS Payments for a Working Capital Loan
  • Topic: Value-based care financing, how expected CMS payments can be leveraged for working capital financing, and a case study demonstrating this program
Sponsored by: Alleon Healthcare Capital

Check our our Webinar Archive to view past webinars on a variety of value-based care related topics!

Upcoming Conferences
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
Flash Interview
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:
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.
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:
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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