Serving the Value-Based Care Community | |
|
|
MedCity News | January 21, 2024
|
|
Value-based care has been cited as a way to reduce healthcare costs and improve outcomes. However, adoption has been slower in rural communities, with rural providers facing several uphill challenges, according to one health company executive “Providers I’d say have been a bit more resistant in rural areas to take on risk, to take on value-based care. And it’s understandable. Many of them are struggling to stay afloat, stay viable,” said Amar Kendale, co-founder and president of Homeward Health, during a recent interview at CES 2024. “So they’re really optimizing what they know well, which is fee-for-service, in order to do that. There also aren’t the same kind of market pressures that you have in urban or suburban areas where the health plans can be a bit more assertive in terms of pushing their networks towards value.” | | |
The Centers for Medicare and Medicaid Services has announced a new model to test approaches for addressing behavioral and physical health, as well as social needs, for people with Medicaid and Medicare. The model will launch in the fall 2024 and is anticipated to operate for eight years in up to eight states. CMS is expected to release a Notice of Funding Opportunity this spring. Practice participants in the Integration for Behavioral Health Model will be community-based behavioral health organizations and providers, including Community Mental Health Centers, public or private practices, opioid treatment programs, and safety net providers where individuals can receive outpatient mental health and SUD services. | |  |
On October 23, CMS released the results and public use file for Global and Professional Direct Contracting (now known as ACO REACH)’s 2022 performance year. The program had 99 participating ACOs in 2022, of which 81 ACOs attained gross savings and 75 ACOs attained net savings (after applicable discounts, CMS shared savings, sequestration, and risk corridors). In total, the 99 ACOs saved approximately $870M in gross savings (3.7%), including $371.5M in savings to Medicare. At CareJourney, we have identified several key drivers of ACO success... | | |
Often the key to solving a troublesome problem is approaching it from a different direction. As 19th-century mathematician Carl Gustav Jacob Jacobi wisely noted (and as popularized by renowned investor Charlie Munger), “Invert, always invert.” Therefore, when we consider ways to transform our current health care system in the U.S. to deliver more reliable, equitable, cost-effective value, we should explore the factors that perpetuate a continued unreliable, wasteful system that propagates inequity. Let me elucidate. The prevalent FFS payment model in the U.S. health system inadvertently fuels health inequities by incentivizing the volume of services over outcomes. It fails to account for and address underlying disparities in health care access and the impactful influence of culture and social determinants of health (SDoH) — both significant obstacles to well-being. | | |
Phoenix-based Equality Health offers value-based care solutions dedicated to serving independent primary care practices in closing gaps in care. Last June, I had the opportunity to interview Mark Stephan, M.D., M.B.A., the company’s chief medical officer, about Equality Health’s ’Medicaid-first” business model. “The way we enter markets is in the Medicaid space, but we also have Medicare Advantage contracts and we’re in ACO REACH,” Stephan told me. “It’s important to bring a portfolio of value-based agreements to a practice. It helps with mindshare and behavior change and practice transformation when you have a significant part of your panel in a value-based agreement.” | | |
Upcoming Sponsored Webinars | | |
|
Customize Your APP Reporting Approach for Lowest Cost Now –
and Future Innovation
| January 31, 2024 | 12 PM EST | Examining options for APP Reporting from a cost and burden standpoint and finding the most cost-effective solution to build upon for the future | | |
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. | | | |
|
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 | | |
|
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 | | | |
Patient & Provider Engagement: Better Health. Better Outcomes. | 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 Value-Based Payments Summit Special Edition: Held in Conjunction with the Second Health Care Value Week | January 29 - February 2, 2024 | Virtual | | |
Check back next week for more conference announcements! | | | |
|
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:
|
Proficient Health improves care delivery and reduces costs by facilitating better communication and delivery/exchange of clinical information across a wide range of providers with disparate systems. Our EHR companion supports better patient care, easier consults, improved operational efficiencies, enhanced in-network optimization and lowered costs for both healthcare providers and patients. | | | |
|
|
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:
| | |
|
|
Gold Level Exhibitors
Thank you to our Gold Level exhibitors! To learn more & visit their interactive booths, click on the logos below:
| |
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! | |
|
Special Disclaimer
Unless stated otherwise, the opinions expressed in the articles featured in VBC Newsstand Weekly and the VBCExhibitHall.com Resource Library are those of individual authors and publishers and do not necessarily reflect the views of VBCExhibitHall.com or its team members (unless otherwise stated). We strive to provide a variety of perspectives on healthcare topics to promote diversity of thought and to foster informed discussions. VBCExhibitHall.com is not affiliated with the authors or publishers of the articles featured in this newsletter and does not have control over their content or editorial decisions. While we make efforts to carefully select and curate articles from reputable sources, VBCExhibitHall.com cannot guarantee the accuracy or completeness of the information provided in the featured articles. We do not assume any responsibility or liability for any errors, omissions, or inaccuracies in the content.
If you have any concerns about the content or suggestions for future articles, please feel free to reach out to us directly. We appreciate your understanding and continued support.
Sincerely,
The VBCExhibitHall.com Team
| | | | |
