Serving the Value-Based Care Community | |
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MedCity News | October 15, 2024
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Last year, researchers looked at the directories of the nation’s five largest health plans and found that four out of five entries were inaccurate. This is more than a minor inconvenience. It’s a financial blackhole for all stakeholders and a disruption, if not a complete obstruction, to patient care. Over 50% of all patients use a health plan’s provider directory to select a physician, yet persistently incorrect provider data undermines the entire system. Value-based care puts patient health and well-being front and center, but when patients can’t find the provider information they need, whether it’s a phone number or address, it causes them to delay or forgo care altogether, face unexpected medical bills, and struggle to find the appropriate healthcare services. | | |
According to the Centers for Medicare & Medicaid Services (CMS), value-based care focuses on the quality and performance of a health care providers’ medical services, making the patient’s experience the forefront of how they receive care. Recently seen as an alternative to fee-for-service clinical care—which requires patients or their insurance plans to pay for each bit of medical care they receive—several providers and health companies have explored ideas regarding value-based care. XiFin is a health care information technology company that assists health care entities in navigating a dynamic and evolving industry. More specifically, utilizing its technology to partner with pharmacists and help improve their bottom line, XiFin delved into the pharmacy market in 2021 after it acquired OmniSYS. | |  |
The Institute for Value-Based Medicine event hosted by The American Journal of Managed Care (AJMC) in Nashville, Tennessee, on August 22, 2024, spotlighted various perspectives on specialty value-based care and explored how innovation and entrepreneurship can help adapt to the evolving health care landscape.1 Presented by AJMC and Tennessee Oncology, the event featured Katherine Baker, MD, MMHC; Samyukta Mullangi, MD, MBA; and Leah Owens, DNP, RN, BMTCN, OCN, as cochairs, with sessions on leveraging entrepreneurship and innovation to transform specialty value-based care delivery. | | |
Let’s face it—healthcare is changing, and fast. The old fee-for-service model, where providers were rewarded for cranking out more tests and treatments, is fading into the background. Enter value-based care, a model that prioritizes patient outcomes over the number of services performed. And at the heart of this transformation? One thing: quality. But quality isn’t just a buzzword—it’s the key to delivering better care, improving health outcomes, and lowering costs. So, why exactly is quality so critical to the future of healthcare, and how is it transforming the way we approach patient care? Let’s break it down. | | |
This week, I had the honor of delivering the opening plenary at the NAACOS 2024 fall conference in Washington, D.C., where over 1,000 leaders from across the country gathered to discuss the future of accountable care organizations (ACOs) and value-based care. As always, the event served as an exceptional educational forum, bringing together clinical leaders, administrators and policymakers dedicated to enhancing the quality of medical care for millions of Americans and making healthcare more affordable for our nation. | | |
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 a Latecomer ACO to APP Reporting? Your Last Minute Options |
October 22, 2024 | 1 PM EST |
Weighing last minute options to meet requirements with the most economical and efficient APP Reporting | | |
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! | | |
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 | | |
Overcoming Data Challenges to Succeed in Value-Based Care | The role that high-quality, validated provider data plays in driving VBC success and effective strategies to overcome data challenges, and how payers can help | | |
What your data can really expose: How incremental changes add up to extraordinary opportunity | Data sources that can be leveraged, the significance of claims data, how data can propel a transition to VBC, and how data intelligence can be turned into action | | |
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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VBCExhibitHall welcomes a new Platinum-level exhibitor!
Introducing:
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CoventBridge Group has more than 25 years of experience in the identification, prevention and investigation of fraud, waste, and abuse for our customers across the healthcare, insurance, financial and government markets with a proven track record of implementing and managing the largest programs in the industry. With 700 employee investigators across the country, many of which are former OIG, DOJ, FBI investigators, CoventBridge is the partner of choice supporting:
- Centers for Medicare and Medicaid Services managing the Unified Program Integrity Contractor program investigating Healthcare FWA since 1997
- One of the largest government agencies providing a national network of undercover investigators
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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! | | | | |
