Serving the Value-Based Care Community
July 7, 2023
Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com
Realizing value-based care success is easier said than done. While a primary goal of value-based care is to improve long-term health outcomes and costs, that can be difficult when consumers’ healthcare journeys are disrupted each year. In simple terms, it takes longer than 12 months to meaningfully change health outcomes, placing the notion of annual enrollment in direct opposition to value-based care. Moving from annual enrollment to long-term health plan enrollment can help encourage investments in care that will lead to lasting improvements, according to Sachin Jain, MD, president and chief executive officer of SCAN Group and SCAN Health Plan.
Chronic kidney disease (CKD) is a condition characterized by the gradual loss of kidney function over time and is the eighth leading cause of death in the US. This widespread condition affects approximately 1 in 7 adults (more than 37 million people) and an estimated 38% of US seniors. Of these affected patients, it has been estimated that nearly 40% are in Stage 3 or higher where pharmaceutical intervention, as recommended by the gold-standard KDIGO guideline, can have a profound impact in delaying progression to kidney failure. Despite this high prevalence, the National Kidney Foundation (NKF) estimates that 80% of CKD cases are currently undiagnosed and undertreated. Leaving CKD patients undiagnosed and untreated results in significant health and cost implications as it progresses further from early stage stage 3 CKD to end stage kidney disease, a deadly stage with a three-year survival of only 56%, requiring dialysis or transplant.
A Medicare Advantage bundled payment model for hip and knee replacements offered by Humana (NYSE: HUM) was associated with reduced skilled nursing facility use. These bundled payments were also linked to reduced spending overall for lower extremity joint replacements (LEJR) – while maintaining quality of care, according to a study published in JAMA Network. Of the bundled episodes, or instances when a MA beneficiary needed a hip or knee replacement, 780 of 6,355 were followed by a SNF stay. About 4,021 of 16,679 were referred to a SNF in the study’s control episodes.
Medical Economics | June 29, 2023
Since the Affordable Care Act was signed into law in 2010, the Centers for Medicare & Medicaid Services has been encouraging physician practices to move from a fee-for-service payment model to one that rewards value. It has been testing models that incentivize clinicians to provide preventive, proactive and appropriate care that improves patient outcomes and experience and decreases unnecessary health care spending. Most recently, it has focused on ensuring health equity across all patient populations. Many practices experienced the financial benefits of value-based care (VBC) during the height of the COVID-19 pandemic, when they received regular per-patient payments from VBC contracts, despite a significant decline in service volume. If your practice was not among them, you may still question whether you can maintain profitability under VBC. You may struggle to understand the terms of contracts, lack the data analytics you need to manage patient populations or fear you will not be able to make the contracts profitable for your practice. But VBC is not an issue of if, but when.
Sponsored Webinars
UPCOMING WEBINARS:

MIPS Value Pathways (MVPs): How to Succeed in Post-Traditional MIPS
  • Topic: Creating and implementing an MVP strategy now that will provide an advantage in the future
Sponsored by: Roji Health Intelligence
July 11, 2023 | 1 PM EST

Client Review: How Harnessing Healthjump’s EHR Data Results in Time Savings for Practices
  • Topic: How Healthjump's innovative EHR platform has revolutionized practices with seamless integration, workflow efficiency, and financial advantages
Sponsored by: Healthjump
July 13, 2023 | 1 PM EST

Accelerate Clinical and Financial Insights with Near-Real Time Data
  • Topic: Adopting data through the recent Beneficiary Claims DATA API (BCDA) enhancement to advance patient prioritization, care coordination, financial forecasting, adverse event notification and more
Sponsored by: CareJourney
July 18, 2023 | 1 PM EST

Leveraging digital health to improve quality metrics that matter
  • Topic: How leveraging digital tools can help with efficient meaningful patient data collection, enhance clinical efficiency, and decrease cost of care with proactive interventions
Sponsored by: Propeller Health
July 20, 2023 | 1 PM EST

RECORDED WEBINARS:

Succeeding in Traditional MIPS (While You Still Can)
  • Topic: Developing and deploying a traditional MIPS strategy that earns incentives (and avoids penalties) now, and leads to future success
Sponsored by: Roji Health Intelligence

Check our our Webinar Archive to view past webinars on a variety of value-based care related topics!
Upcoming Conferences
2023 Virtual National Advanced Healthcare at Home Summit
July 11-14, 2023 | Virtual

RISE West 2023
August 28-30, 2023 | Dallas, TX

Activate2023
September 27-28, 2023 | Minneapolis, MN
EXHIBITOR SPOTLIGHT
FLASH INTERVIEW
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:
BioReference Laboratories, Inc. is one of the largest full service specialty laboratory in the United States. With a focus on genetics, oncology, urology and women’s health, BioReference offers comprehensive test solutions and unparalleled expertise based on a 40 year legacy of proven science. Delivering reliable, convenient and innovative diagnostic solutions tailored to the specific needs of healthcare providers, patients and organizations, and with a vision to provide high quality, personalized diagnostics to all patients, BioReference is a trusted laboratory partner for value-based care organizations.
Platinum Level Exhibitors
Thank you to our Platinum Level exhibitors. These organizations offer the absolute highest quality products & services to the ACO & IPA 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:
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