Serving the Value-Based Care Community |
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Health Affairs | February 28, 2023
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High-quality primary care is a critical tool to advance health equity within Medicaid, which includes many enrollees who identify as people of color. This population experiences long-standing health inequities due to factors including structural racism and historic underinvestment in safety-net institutions. To support higher-quality, more equitable primary care, there is growing consensus that payment reform is necessary. Medicaid primary care population-based payment (PBP) models—advanced value-based payment (VBP) approaches that pay provider organizations through upfront, flexible payments tied to quality incentives—offer a key means to improve primary care.
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In October of 2021, CMS’s Center for Medicare and Medicaid Innovation (CMMI) released their Ten-Year Strategic Plan which has five main pillars, one of which is Advancing Health Equity. They also outlined one of their key goals, to have all Medicare beneficiaries in some form of accountable care relationship by 2030. Achieving this goal will require reaching the most underserved populations, who are sadly the least likely to currently be enrolled in any sort of accountable care organization. Model elements aimed at reducing healthcare disparities and at reaching underserved beneficiaries are a part of all recently released payment models, such as the Kidney Care Choices model which includes a stratified benchmark that rewards dialysis providers who treat more underserved beneficiaries. |
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Many ACOs are in the throes of planning to adopt APP Reporting. It’s a massive undertaking that can be costly, depending on your ACO’s configuration of practices. If your ACO is scrambling to sort this out, you’re not alone in your abrupt initiation into the world of EHR data. Welcome to the joy ride. In our last post, we explained how to maximize the value of data aggregated for quality, as produced by either the HL7 and flat file method, or the QRDA method. Here we break down the data you need to achieve better quality in terms of patient outcomes. Why? Because if you’re aggregating data for quality, you don’t want to miss the important stuff that will make a real difference for your organization and patients in the long run.
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HealthcareExecIntelligence | March 6, 2023
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Care coordination is essential for patients with chronic diseases whose treatment plans require provider input from multiple specialties. Treatment for diabetes—one of the most expensive chronic diseases in the US—may incorporate care from over ten kinds of healthcare professionals. If these providers have poor communication, they can make a patient’s diabetes treatment plan even more complicated, Julie Bietsch, senior vice president of clinical operations at Aetna, explained to Healthcare Strategies. “People need help accessing and coordinating all the information provided to them,” Bietsch said. “The key is you have to make the solution more personalized, resolve the barriers a person faces, and connect care with the solution people can implement.”
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UPCOMING WEBINARS:
Transforming Transitions for High-Risk Patients: How an IPA revamped care transitions to improve outcomes
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Topic: How CAIPA enables their physician practices to facilitate early interventions for gaps in care for patients discharged home
March 14, 2023 | 1 PM EST
Unlocking the power of digital health: How ACOs can deliver value through digital platforms
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Topic: Challenges facing ACOs at delivering population health at scale and improving health equity metrics, and how digital platforms can be leveraged to overcome these challenges and help ACOs succeed
March 16, 2023 | 1 PM EST
How Innovative Digital Trends are Revolutionizing ACO Outcomes
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Topic: Which digital trends to implement and which to avoid, and how to leverage digital innovation, in order to optimize cost savings, deliver the most value, and create efficient and scalable processes
March 21, 2023 | 1 PM EST
How to Prepare for Market Changes to Health Equity and Social Determinants of Health
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Topic: The changing Health Equity & Social Determinants of Health landscape, key considerations for health plans, and planning for the future
March 23, 2023 | 2 PM EST
Reskilling and Upskilling the Workforce for the Future
of Value-Based Care
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Topic: Creating pathways for education and upskilling current workers and reskilling those who are already in the workforce
April 4, 2023 | 1 PM EST
Harnessing predictive analytics to boost post-acute outcomes
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Topic: ACO post-discharge performance, how to predict and manage high-risk discharged patients, and how providers and payers can direct patients and beneficiaries to the best SNFs
April 13, 2023 | 1 PM EST
RECORDED WEBINARS:
How Transformative Laboratory Services May Close Gaps in Care
and May Reduce Cost
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Topic: How diagnostic laboratory services drive key healthcare decisions and how to optimize actionable data to help close gaps in care and reduce cost
Check our our Webinar Archive to view past webinars on a variety of value-based care related topics!
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ViVE 2023
March 26-29, 2023 | Nashville, TN
2023 Virtual Fourth National Medicare Advantage Summit
April 25-28, 2023 | Virtual
APG Annual Spring Conference 2023: Going the Distance
May 31-June 2, 2023 | San Diego, CA
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ATTAC Consulting Group is a national leader in providing advisory, auditing, consulting, technology and business operations solutions to health insurers, drug plans, managed care organizations and provider organizations.
ATTAC guides clients as they adapt to the ever-changing healthcare industry and regulatory environment. We specialize in operations excellence, business transformation and technology, risk adjustment optimization, regulatory compliance, auditing, provider network management, pharmacy, and training and interim staffing.
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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 ACO & IPA 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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Our thoughts and prayers are with the people of Ukraine. |
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