Serving the Value-Based Care Community | |
|
|
Healthcare Innovation | May 16, 2024
|
|
The press release published jointly by the offices of the two senators began thus: “As part of their ongoing work to address primary care challenges and reform physician payment models, U.S. Senators Sheldon Whitehouse (D-RI) and Bill Cassidy, M.D. (R-LA) released a Request for Information (RFI) to accompany the introduction of the senators’ bipartisan Pay PCPs Act, legislation to better support and improve pay for high-quality primary care providers.” And it quoted the two senators as stating that “Primary care is a critical part of the health care equation. Overwhelming evidence shows that primary care both improves health outcomes for patients and drives down health costs. There are many issues to address in primary care, and we look forward to receiving feedback on our legislation through the RFI to make a meaningful difference to health care success.” | | |
Medical billing is a field that is constantly evolving, with new updates and developments. One such development is value-based care, which is currently transforming the medical billing industry. Value-based care is a provider payment model that prioritizes high-quality healthcare over the quantity of services. The goal of this payment model is to provide better care to patients while reducing the cost of care. This article is a guide on value-based care models, what they are, how they impact billing practices, and what strategies should be adopted to succeed in this new reimbursement landscape. | |  |
Since the introduction of the Triple Aim by the Institute for Healthcare Improvement (IHI) more than15 years ago, efforts to improve the US health care system have been guided by the goals of enhancing patients’ experience of care, improving population health, and reducing per capita health care spending. In 2022, it was proposed that the Triple Aim framework expand to include two critically important goals: workforce well-being and safety and advancement of health equity. | | |
Operational and financial challenges can make it difficult for nursing homes and other health care facilities to transition to the federal government’s Value-Based Program (VBP), which ties payment to quality and outcomes. An editorial published in JAMA Internal Medicine Monday expresses the need for more data and improved measurement of outcomes, better methods of financial management, and an easier and less expensive administrative process of enabling stakeholders, especially physician-owned practices, to get involved in VBP. The Centers for Medicare & Medicaid Services (CMS) announced in 2021 its goal to use VBP for all Medicare beneficiaries’ health care by 2030. Since then commercial insurers have aligned their contracts to VBP. | | |
The United States is spending nearly half a trillion dollars in avoidable expenses due to mental health inequities, and that may be just the tip of the iceberg, a new report suggests. Because of failures to provide access to the mental health needs of Americans, the country is spending an estimated $477 billion annually, according to a new report released today by Deloitte and Meharry School of Global Health. Unchecked, the cost could rise to $14 trillion by 2040, the report estimates. Jay Bhatt, managing director of the Deloitte Center for Health Solutions and Health Equity Institute, says those figures should spark a conversation about finding ways to help Americans get the care they need. “Mental and behavioral health is a national challenge that affects millions of Americans of all ages, backgrounds and walks of life, and particularly, really impacting youth at this time, too,” Bhatt tells Chief Healthcare Executive®. | | |
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. | | |
How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey, Part One | |
CMS National Quality Strategy and the CMS Innovation Center, and the ways in which they can provide the foundation of your plan
(Part One of Three: Value-Based Primary Care Means More than Measuring Total Cost of Care)
| | |
Beyond GUIDE: How data-driven strategies are paving the path for better dementia care | A case study of how data-informed approaches are being used within dementia care to identify critical areas of need, address underdiagnosis, promote health equity, and improve patient outcomes | | | |
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 | | |
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)
| | | |
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)
| | |
Check back next week for more webinar announcements! | | | |
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)
| | |
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 |
| |
Virtual Fifth National Medicare Advantage Summit | July 9 - 12, 2024 | Virtual | | | |
ReferralPoint is a referral management solution for health systems, medical groups, and payers to transform their patient referral processes and support their fee-for-service and value-based care populations. Built on a top-performing population health platform, ReferralPoint uses cost and quality data to inform referral decisions to the highest quality, lowest cost, in-network providers then automates insurance verification, prior authorization, scheduling, and closing the loop. Seamless integration allows partners to increase revenue and savings, reduce leakage and costs, improve efficiency, and enhance patient satisfaction, all from within their EHR workflow. | | | |
|
|
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! | | | | |
