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Serving the Value-Based Care Community

January 24, 2025

Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com

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From challenge to change: Best practices for value-based care in physician practices

Medical Economics | January 7, 2025

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Value based care remains a top priority in health care, and physician practices of all types are feeling the pressure from payers to take on more risk. Despite this national trend, many physician practices have been slow to embrace these models, in part due to concerns about the ability to win in risk-based arrangements, while also performing well in fee-for-service agreements. Adopting a value-based approach to clinical, financial and administrative operations can help physician practices thrive in both worlds.

Key Strategies for Implementing Effective CDI Programs in ACOs

Symbion Inc. | January 22, 2025

Clinical Documentation Improvement (CDI) programs play a vital role in Accountable Care Organizations (ACOs), ensuring accurate and comprehensive documentation that supports proper reimbursement, compliance, and quality patient care. With healthcare reimbursement models becoming increasingly complex, ACOs must implement strategies that streamline documentation, reduce errors, and align with Medicare’s risk adjustment models like Hierarchical Condition Category (HCC) coding.

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Late to APP Reporting? Untangle Your ACO’s Optimal Method

MedCity News | January 17, 2025

With mandatory Alternative Payment Model Performance Pathway (APP) Reporting beginning in Performance Year 2025, the time to act is now. Reporting quality on all beneficiaries marks a major shift, requiring thoughtful preparation and strategic planning. If your Accountable Care Organization (ACO) hasn’t started yet, don’t worry — there’s still time to get on track.

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UnitedHealth Group CEO: Value-Based Care Could Offset Rising Provider, Drug Costs

Behavioral Health Business | January 16, 2025

Insurance giant UnitedHealth Group (NYSE: UNH) is blaming providers and drug companies for the growing costs of health care in the U.S. This came after the company faced a wave of public scrutiny for its denial practices following the tragic death of Brian Thompson, CEO of its insurance arm, UnitedHealthcare

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FCA Enforcement in Value-Based Care Arrangements Heated Up in 2024 and Likely to Remain a Priority in 2025

Lexology | January 15, 2024

In September 2024, the Department of Justice (DOJ) announced a large False Claims Act (FCA) settlement with a VBC primary care practice. In December 2024, the Office of Inspector General for the Department of Health and Human Services (OIG) issued a Special Fraud Alert addressing enforcement efforts implicating certain VBC business arrangements. VBC stakeholders should take note of these developments and the government’s apparent focus on patient recruitment and referral arrangements.

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ANNOUNCEMENTS

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.

Are You Sabotaging Your ACO Viability?


January 28, 2025 | 1 PM EST


In this webinar we’ll look at a variety of ACO actions and decisions that have the potential to negatively impact cost even if, from a different standpoint, they appeared to be sound decisions. We’ll also examine tools for cost control that your ACO has adopted or avoided.

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Mastering Value-Based Care Networks: Insights for Competitive Edge in PY 2026 


February 13, 2025 | 2 PM EST


As value-based care organizations continue to demonstrate success and optimize their approaches, the importance of building the right value-based care (VBC) network has become increasingly important. No longer are organizations blindly creating VBC rosters. Organizations, and ultimately patients, depend on actionable insights and robust data to serve as the foundation for high-quality healthcare. 

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Insights for Navigating Value-Based Care Policy and Regulatory Trends in 2025


February 25, 2025 | 1 PM EST


Join us for a deep dive into the latest policy and regulatory updates shaping the future of value-based care (VBC). Led by James Pelletier, National Director of Provider Quality at MRO, the webinar provides actionable insights to help you adapt and thrive in this evolving landscape.

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Evaluating the Right Healthcare Analytics Vendor for Your Organization: Actionable Strategies for Actionable Intelligence


February 12, 2025 | 1 PM EST


Join Salient Health to gain the insights necessary to make an informed, strategic decision when selecting an analytics vendor that aligns with your goals, scales with your needs, and delivers actionable, measurable results.

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Check back next week for more webinar announcements!


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Recorded Webinars

Leveraging data to drive operational, quality, and patient outcomes


In today's valued-based landscape, Tampa General Hospital has utilized the power of data to transform the care journey for their patients and improve outcomes. In this webinar, you will hear about the hospital's journey to data transparency and the pivotal drivers that led them to focus on patient engagement, provider collaboration, and post-acute facility performance.

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Mastering Value-Based Care Contracts: Strategies for Success 



Join industry experts as they delve into effective strategies for contract negotiations, year-round performance tracking, and actionable approaches to streamline contract management in value-based arrangements. Gain valuable insights into measuring and comparing performance across multiple contracts to ensure alignment with your organization’s goals and value-based care objectives

Watch or Listen to Recording

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

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Upcoming Conferences

Fourth Virtual Value-based Payments Summit Special Edition:

Held in Conjunction with the Fourth Health Care Value Week

Featuring Presentations by A4H, AHIP, AMA, APG, BCBSA, MGMA, NAACOS, PHA, etc.

 

Complimentary Registration

 

February 24-28, 2025


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Register for the TXAACOs 2025 Annual Conference


Join Texas' Premier Event for Value-Based Care Innovators

Connect, collaborate, and gain valuable insights from industry leaders and innovators at the inaugural TXAACOs Annual Conference. Don’t miss this opportunity to network and learn while advancing value-based care across Texas.


March 31 – April 2, 2025 | JW Marriott San Antonio Hill Country Resort



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Exhibitor Spotlight

At Edifecs, our work is more than just a job. It is our passion. We are passionate about improving our healthcare system and that passion is evident in everything we do. We work tirelessly to optimize end-to-end patient data exchange, and our cloud-native solutions leverage the power of AI to derive insights for our healthcare customers so they can better serve their members and patients.

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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:

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!

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