Serving the Value-Based Care Community | |
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MedCity News | June 20, 2024
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In the healthcare world, everyone wants to achieve better outcomes at lower costs. But this is much easier said than done, pointed out Dr. Patrick Runnels, chief medical officer at Cleveland-based University Hospitals. “We’ve been pursuing better outcomes at a lower cost without changing the fee-for-service expectations, which means we’re adding a bunch of stuff on top of the stuff we’re already asking physicians to do — that’s what value-based care has been so far,” he declared in an interview at a recent conference. In other words, the way value-based care is currently practiced at health systems results in hours of new administrative tasks for physicians, including increased responsibilities for documentation, care coordination, patient engagement, preventive care outreach, and the tracking of financial and population health metrics. Without addressing this problem, value-based care models will never be able to reach true scale, Dr. Runnels said. | | |
The Department of Health and Human Services (HHS) is locking in its enforcement strategy to keep healthcare providers from blocking access to electronic health information. On Monday morning the department released its final rule (PDF) outlining disincentives for eligible hospitals or critical access hospitals, clinician groups and accountable care organizations (ACOs) found to have committed information blocking. Its broad strokes are largely the same as the proposed rule HHS shared last fall, which outlined financial repercussions tied to Medicare program participation as well as the public disclosure of healthcare providers hit with information-blocking enforcement. | |  |
Providers, health systems, and health plans across the country continue to be engaged in conversations about value-based care – and often the focus remains on the burdens and challenges of making the shift. Across the industry, we hear about the difficulties of transitioning from fee-for-service to value-based care, and those concerns are valid. However, we also hear something else: that many organizations want to adopt new value-based care strategies, but lack buy-in from stakeholders or don’t know when it will really be worth it to start the journey. It’s always easy to talk about the challenges associated with change, but what are the potential opportunity costs of not making the transition to value-based care? | | |
Last month, the CDC reported that 90 percent of our annual $4.5 trillion in healthcare spending is devoted to people with chronic and mental health conditions. And we know that 70 percent of Medicare beneficiaries, for example, suffer from two or more chronic conditions. These are staggering numbers we can’t turn away from, and a daunting challenge for physicians trying to improve outcomes and build a sustainable practice. Same for group practices and IDNs all the way to large hospital systems. We’ve also seen the studies showing that patient costs without coordinated care are 75 percent higher than when care coordination is implemented. | | |
In the dynamic landscape of healthcare, where quality care and cost-effectiveness are paramount, initiatives like the Medicare Shared Savings Program (MSSP) play a pivotal role. As healthcare providers strive to deliver better outcomes while managing costs, understanding the financial implications of MSSP Accountable Care Organization (ACO) reporting becomes essential. In order to fully understand the financial implications, first one must understand what MSSP ACO reporting entails. | | |
Upcoming Sponsored Webinars | |
VBCExhibitHall offers FREE educational webinars for those who are working in value-based care (VBC), or would like to learn more about VBC! We encourage people to attend the live webinars so as to have the opportunity to participate in the Q&A. However, if you are unable to attend, a link to the recorded webinar is sent to all who sign up. Please register using an accurate email address so that you can receive the link to join and to the recording. | | |
Why ACOs should prioritize fall prevention | The importance of fall preventions for older adults, the cost impact falls are having on organizations, the common ways in which fall prevention is addressed today (and their barries), and the best evidence-based strategies to reduce the risk of falls | | |
Surviving and Thriving Under the Persistent Movement to Value-Based Care Arrangements | July 11, 2024 | 12 PM EST | The evolution of VBP arrangements and projections for growth, outcomes under VBC programs, and the importance of data mining to identify insights that drive success | | | |
How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey, Part Three | |
CMS National Quality Strategy and the CMS Innovation Center, and the ways in which they can provide the foundation of your plan
(Part Three of Three: Maintaining Your Competitive Edge: How to Avoid Stagnation)
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Solving V28: How National Interoperability and AI Can Address Value-Based Care’s Top Challenges | An overview of TEFCA and the current state of interoperability, and how AI can help solve some of the largest challenges around medical record readability, patient history summarization, and more | | | |
How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey, Part Two | |
CMS National Quality Strategy and the CMS Innovation Center, and the ways in which they can provide the foundation of your plan
(Part Two of Three: Using Innovation Center Models to Drive Efficient Specialty Care)
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Interoperability & TEFCA: The Road that Got Us Here, Where We Are Now, What's Next | The pivotal journey of interoperability in healthcare, exploring the significance of the Trusted Exchange Framework and Common Agreement (TEFCA), current data insights, and future directions | | | |
Overcoming Population Health Pitfalls: 5 Proven Strategies for Value-based Care Orchestration |
Population health pitfalls and how leaders can make data-driven program decision to avoid them and manage total cost of care | | |
Check out our Webinar Archive to view past webinars on a variety of value-based care related topics! | | | |
Virtual First National Speciality Care Transformation Summit | October 8 - 11, 2024 | Virtual | | | |
ATTAC Consulting Group is a national leader in providing advisory, auditing, consulting, technology and business operations solutions to health insurers, drug plans, managed care organizations and provider organizations. ATTAC guides clients as they adapt to the ever-changing healthcare industry and regulatory environment. We specialize in operations excellence, business transformation and technology, risk adjustment optimization, regulatory compliance, auditing, provider network management, pharmacy, and training and interim staffing. |
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