Serving the Value-Based Care Community | |
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MedCity News | October 22, 2024
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The past couple of years have been rocky for companies looking to disrupt the traditional primary care model — with top retailers Walmart and Walgreens announcing that they’re winding down their primary care operations significantly. Others still stand, though the jury is out on whether they can master the tough unit economics that come along with healthcare delivery. Recent failures in the retail health space beg the question: Is primary care only suited to remain within traditional players, such as health systems, physician practices and large employers? Four healthcare executives shared their responses to this question during a Sunday panel at HLTH in Las Vegas. | | |
Value-based care remains a top priority in the shifting landscape of US health care, as emphasized during a recent session at the National Association of Accountable Care Organizations (NAACOS) fall conference. The discussion brought together payers and providers to explore the challenges and opportunities in improving patient outcomes while reducing health care costs, with a focus on aligning reimbursement models to encourage quality care over service volume. | |  |
The famous quote “What gets measured, gets managed” is often incorrectly attributed to business guru Peter Drucker. Although Drucker may not believe that maxim entirely, when it comes to value-based care (VBC), only care quality that can be measured and reported matters. Whether it is capitated, bundled, pay-for-performance, or hybrid VBC reimbursement models, the Centers for Medicare and Medicaid Services (CMS) and other payers typically have significant demands regarding quantitative data reporting on care quality, outcomes and costs. | | |
In its first three years of operation, Medicaid’s primary care-focused Accountable Care Organizations (ACOs) in Massachusetts showed “no clear evidence of success” in improving asthma care for children, according to research led by the University of Massachusetts Amherst and UMass Chan Medical School-Baystate Health. The study, published recently in JAMA Pediatrics, compared the asthma care of Medicaid-insured children affiliated with a Medicaid ACO to that of children with private insurance. | | |
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Specialty care makes up a significant portion of healthcare spending, yet accountable care organizations (ACOs) often lack a specialty care strategy to lower costs and optimize specialty care. This disconnect arises due to distinct payment models that pay specialists separately, alongside care management systems that don’t attempt to integrate ACO primary care physicians and specialists.
Specialists are pivotal to the care continuum and should be fostered as partners in delivering high-quality care rather than mere cost drivers.
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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. | | |
Clinical Blind Spots: Solving for What’s Around the Corner in Value-Based Care |
November 14, 2024 | 1 PM EST | Round-table discussion with several leading healthcare experts about the challenges and opportunities that are top of mind for their organizations as they head into 2025 | | |
Unlocking the Connection Between Patient Experience and Provider Satisfaction to Drive Results That Matter | November 19, 2024 | 1 PM EST | How Lucerna's Satisfaction Insight Solution complements other components of their Leap platform providing feedback from both patients and providers and converts then into actionable insights to drive performance improvements | | |
Check back next week for more webinar announcements! | | |
Are You a Latecomer ACO to APP Reporting? Your Last Minute Options | Weighing last minute options to meet requirements with the most economical and efficient APP Reporting | | |
Mitigating Medical Coding Compliance Risks in Value-Based Care | Identifying coding challenges and risks associated with VBC models and how to effectively mitigate them with strategies including internal audits and compliance programs | | | |
Check out our Webinar Archive to view past webinars on a variety of value-based care related topics! | | | |
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APG Fall Conference 2024
Health Care Strong: Embracing Change and Thriving in Uncertain Times
| November 11 - 13 | Washington, DC | |
Amid workforce shortages, rising costs, cyberattacks, and other challenges, physician groups and other health care stakeholders face a complex and unpredictable future. It’s more difficult now than ever to chart a steady course in value-based health care.
So there's no time like the present to hear from some of the nation’s leading experts in all these areas on how to navigate this environment, including managing amid complexity. Join America's Physician Groups for “Health Care Strong: Embracing Change and Thriving In Uncertain Times,” this year’s APG Fall Conference.
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FLAACOs Annual Fall Conference | November 20 - 22 | Orlando, FL | Enjoy dynamic speakers, participate in breakout sessions led by top healthcare visionaries, and network with industry peers & leaders. The FLAACOs Annual Conference is the premier professional development and networking opportunity for not only existing and developing ACOs, but any organizations, in Florida and nationwide, that are interested in value-based healthcare models. |
Virtual Third National Primary Care Transformation Summit | December 3 - 6, 2024 | Virtual | Thanks to the generous support of the Patient-Centered Outcomes Research Institute (PCORI) and the Heritage Group, the Summit now offers complimentary registration to full-time practicing physicians, nurses and allied health professionals. |
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Caption Care provides accessible, cost-effective echocardiograms to identify heart disease earlier—before undiagnosed issues become serious. Powered by AI-guided ultrasound, Caption Care's solution enables proactive heart disease detection at scale for at-risk patients, supporting improved outcomes, more accurate risk scoring, and reduced costs. Caption Care’s turnkey programs are designed to meet your population health needs, with convenient in-home and in-clinic scanning options and comprehensive care management services available through our specialty cardiology partner. |
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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! | | | | |
