Serving the Value-Based Care Community | |
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Value-based care has gotten a lot of attention in the health care industry over the past 10 years, but the truth is, it has not succeeded in what it was intended to do at scale. In fact, research shows that value-based care models have not lowered costs or improved patient outcomes at scale. Individual contributions to health care expenses have continued to rise without signs of slowing. And over the past decade, the gap in mortality between the US and similar nations has widened and disease burden has worsened. This all begs the question: Why isn’t value-based care having the intended effect across the industry? The fundamental tenets of value-based care still hold promise. | | |
2024 marks the third year of progress on the Center for Medicare and Medicaid Innovation (Innovation Center) strategic refresh, and one of its aims is to have 100 percent of Traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries in accountable care relationships by 2030. Accountable care means that a doctor, group of health care providers, or hospitals take responsibility for improving quality of care, care coordination, and health outcomes for a defined group of patients based on a series of population-based metrics and cost based on a financial benchmark. Expanding accountable care will reduce care fragmentation and unnecessary costs for patients and the health system, but doing so also requires increased access to coordinated and integrated specialty care. When primary and specialty care providers collaborate across care settings, together they can deliver accountable care that best meets patients’ needs and preferences. | |  |
The momentum of value-based care is poised to accelerate. The Centers for Medicare and Medicaid Services has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030 – a notable increase from the mere 7% recorded in 2021 by Bain research. As more health plans, providers and members enter VBC arrangements, substantial volumes of clinical data will need to be managed effectively to oversee patient risk and care quality. Jay Ackerman, president and CEO of Reveleer, a quality improvement and risk adjustment technology and services company, has deep knowledge of the healthcare landscape, VBC contract models and the technologies behind the scenes. We interviewed him to discuss the potential of artificial intelligence to revolutionize risk adjustment, how AI can synthesize both quality and risk adjustment clinical data, and how providers can use AI tools to help patients fully engage in their care. | | |
Amidst the evolving landscape of Texas healthcare, ValueH, the parent organization behind the highly successful Florida Association of ACOs (FLAACOs), proudly introduces its latest initiative: the Texas Association of Accountable Care Organizations (TXAACOs). This strategic venture responds to the growing need for localized advocacy and collaborative networking within Texas’s healthcare ecosystem. With a kick-off event this Fall and the inaugural conference slated for later next Spring, TXAACOs aims to replicate the resounding success and impact of FLAACOs, which has been instrumental in driving value-based care in Florida since its establishment in 2014. | | |
Data are key to understanding how value-based care has helped highlight quality benefits of hospice. The U.S. Centers for Medicare & Medicaid Services (CMS) is sunsetting the hospice component of the value-based insurance design (VBID) as of Dec. 31. Commonly called the hospice carve-in, the program in 2021 began testing the coverage of hospice through Medicare Advantage, as well as palliative care and transitional care. Though the hospice carve-in is coming to an end, it could have lasting impacts on how value-based providers across the continuum view end-of-life care, according to Mindy Stewart-Coffee, national vice president of palliative care at Landmark Health, part of the UnitedHealth Group (NYSE: UHN) subsidiary Optum Home & Community Care. | | |
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. | | |
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Your ACO Guide to Targeting Costs with Data-Driven Strategies:
Best Strategies for ACO Cost Control with Quality plus Claims Data
| April 17, 2024 | 1 PM EST | |
The types of data that ACOs have available to them for targeting avoidable costs, and which strategies make the biggest gains
(Part two of a three-part series; focuses on quality measure data)
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Maximizing Healthcare Efficiency: How Deviceless Remote Patient Monitoring Saved a Physician-owned Practice $1.4 Million | April 24, 2024 | 1 PM EST | How Mankato Clinic deployed Deviceless Remote Patient Monitoring to engage thousands of patients across chronic and mental health conditions and catch patients before conditions exacerbated | | | |
How Buena Vida y Salud ACO uses predictive targeting to help keep patients healthy at home | April 25, 2024 | 1 PM EST | How the system of Buena Vida y Salud ACO navigates complexities of rising costs and utilization of their aging patient population | | |
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The Medicare Advantage V28 transition:
What we learned in year 1
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April 30, 2024 | 12 PM EST |
The impact of V28 on revenue, key diagnoses to focus on, and data- and clinically-driven mitigation strategies. | | | |
Your ACO Guide to Targeting Costs with Data-Driven Strategies: Data Flush? Best ACO Options for Prioritizing Cost Initiatives Based on RoI | |
The types of data that ACOs have available to them for targeting avoidable costs, and which strategies make the biggest gains
(Part three of a three-part series; focuses on EHR aggregated data)
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Check back next week for more webinar announcements! | | | |
Fix your Patient Referral Process Now with Data and Automation |
How to leverage data and automation to reduce costs, enhance satisfaction, and close the referral loop to meet VBC contractual requirements | | |
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Your ACO Guide to Targeting Costs with Data-Driven Strategies:
Best Strategies for ACO Cost Control with Easily-Available Data
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The types of data that ACOs have available to them for targeting avoidable costs, and which strategies make the biggest gains
(Part one of a three-part series; focuses on claims data and simply accessed clinical data)
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Check out our Webinar Archive to view past webinars on a variety of value-based care related topics! | | |
APG Spring Conference 2024 | May 29 - 31, 2024 | San Diego, CA |
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Virtual Fifth National Medicare Advantage Summit | July 9 - 12, 2024 | Virtual | | | |
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The Diabetes Eye Exam quality measure is commonly referred to as one of the most difficult care gaps to close. Since up to 50% of diabetic patients lack documentation of a retinal eye exam, ACOs and practices spend a significant amount of administrative time each year chasing charts to close this measure.
Topcon Healthcare supports practices to close this care gap at point of care with Topcon Screen to improve care coordination and risk adjustment within the diabetes population. This service takes less than 2 minutes per patient, is reimbursed by most insurance companies and meets the HEDIS specification for the Diabetes Eye Exam.
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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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The VBCExhibitHall.com Team
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