Serving the Value-Based Care Community | |
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Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com
and spotlighting our Platinum-level exhibitor Edifecs!
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Managed Healthcare Executive | January 26, 2024
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While medical coding may not be at the forefront of innovation priorities for some healthcare systems, there is real opportunity for care delivery improvement and systemic cost savings. Instead of perceiving coding solely as a necessary mechanism for fee-for-service reimbursement, progressive healthcare leaders are viewing coding as a catalyst for advancement in population health, value-based care and research. Diagnosis (ICD-10) and procedure (CPT) code sets offer substantive data insights to support the patient journey and experience. Clearly, tracking patients’ activities over time is an imperative for clinical decision-making, and clinically specific codes can be an accurate and efficient tool for care providers to summarize relevant and critical information in each patient’s chart. | | |
In 2024, 50 accountable care organizations are new to the Medicare Shared Savings Program (MSSP) and 71 ACOs renewed participation, according to new numbers released by the Centers for Medicare & Medicaid Services (CMS) Monday. The total number of participants now stands at 480 ACO programs, with 245 organizations continuing in ACO REACH and the Kidney Care Choices (KCC), two types of CMS Innovation Center models. More than 634,000 providers and organizations serve nearly 11 million people in traditional Medicare. In 2022, 483 ACOs were participating in MSSP, showing a lack of overall growth in program participation. | |  |
Large language models, a form of artificial intelligence, are generating a lot of hype in healthcare circles, primarily because of their potential to transform and improve various aspects of healthcare delivery and management. The buzz also is driven by rapid advancements in AI and machine learning. But while there’s significant potential, challenges and ethical considerations remain, including concerns about data privacy and security, lingering bias, regulatory issues, data precision and more. In short, AI is poised to do big things – but can it be made to work for clinicians? Medicomp Systems CEO David Lareau believes it can – if the industry leverages complementary technologies that take advantage of the power of AI. Healthcare IT News sat down with Lareau to talk about AI, LLMs and the future of healthcare. | | |
When I was 14 years old, my parents moved our family home within Miami Dade County. We shifted from zip code 33157 to 33183, and as I’ve recently learned, this increased our life expectancy from ~79 years to ~86 years. My parents didn’t have a college education or any access to this type of data, but instinctively they moved toward what we all want and should have — safer neighborhoods, good schools, grocery stores with fresh foods, and job opportunities. Zip code determines up to 60% of health, and life expectancy can vary up to 30 years within a 10-mile span. Yet over 50 million Americans live in economically distressed zip codes, and we’re a far cry from all Americans having “the fair and just opportunity for every person to attain their highest level of health,” per the CDC. | | |
Chicago-based Medical Home Network (MHN), a nonprofit organization focused on transforming care in the safety net, is partnering this year with 64 federally qualified health centers (FQHCs) in seven states to participate in two CMS value-based programs: ACO REACH and the Medicare Shared Savings Program (MSSP). MHN provider partners participating in the NeueHealth Premier ACO achieved $10.1 million in gross savings and a 100 percent quality score in the 2022 performance year. This will be the first year MHN participates in the MSSP, and the second year participating in the ACO Realizing Equity, Access and Community Health (REACH) Model. Together, these ACOs will cover nearly 50,000 Medicare lives. MHN supports care transformation by helping FQHCs build whole-person care coordination capabilities at the practice level — powered by AI-driven, real-time analytics and information that gives a full picture of a patient’s health. | | |
Upcoming Sponsored Webinars | | |
Establishing your Medicare Advantage HEDIS strategy for the year | February 13, 2024 | 12 PM EST | Innovative and unconventional approaches to Medicare Advantage HEDIS strategy from real-world experiences. | | |
5 Ways ACOs Can Boost Cost Control through APP Quality Reporting | February 20, 2024 | 1 PM EST | Five areas where ACOs can segue their quality measurement activities into cost performance gains to lower total cost of care | | | |
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All Roads Lead to Value-Based Care, Part 4:
Real-life Operationalization of VBC
| February 21, 2024 | 1 PM EST | Examples of how value-based care is being put into practice in real-world scenarios, including successful VBC initiatives in hospitals and nursing facilities; the role of data analytics in implementing VBC | | |
Designing Equitable Solutions to Increase BCS Completions Across Diverse Populations | February 22, 2024 | 1 PM EST | How health organizations can increase breast cancer screening completions by delivering equitable digital engagement solutions to overcome barriers across diverse populations | | | |
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An HCC V28
State of the Union:
The Key to Excelling at VBC in 2024
| February 29, 2024 | 1 PM EST | Top takeaways from the first month of the V28 phase-in period and practical changes that can be implemented to help organizations make smoother transitions | | |
Check back next week for more webinar announcements! | | | |
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Customize Your APP Reporting Approach for Lowest Cost Now –
and Future Innovation
| Examining options for APP Reporting from a cost and burden standpoint and finding the most cost-effective solution to build upon for the future | | |
Check our our Webinar Archive to view past webinars on a variety of value-based care related topics! | | | |
Third Virtual National Healthcare Transparency & No Surprise Act Summit | April 16 - April 19, 2024 | Virtual | | |
Check back next week for more conference announcements! | | | |
With an interoperability platform, insights, and software applications, Edifecs frees payers and providers to better collaborate and harness innovation to create a more connected, efficient, and impactful experience for individuals and populations alike. For over 25 years, Edifecs has worked to perfect the end-to-end process of patient data interchange between stakeholders, uniting disconnected data and applying computing advances to uncover compliance, financial, and care opportunities. With an end-to-end ecosystem that organizes all stakeholders across all APM models, their technology lays the foundation for uniting your financial and clinical worlds together to understand patients’ needs, stratify them by risk, engage effectively, and track outcomes over time. | | | |
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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 value-based care community. 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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Find out how your organization can be featured here and receive additional benefits including a customized booth on our website, social media campaigns, hosted and marketed webinars, an interactive session with top-level VBC executives and consultants, and more! Click here! | |
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Special Disclaimer
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Sincerely,
The VBCExhibitHall.com Team
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