Serving the Value-Based Care Community

November 22, 2024

Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com

and spotlighting our NEW Platinum-level exhibitor TCARE!

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Report: Practices in Two-Sided Risk Drove Savings in Oncology Care Model

Healthcare Innovation | November , 2024

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Oncology practices that participated in two-sided risk in the latter half of the Oncology Care Model (OCM) were the main driver of payment reductions in the model, according to an evaluation prepared for the Center for Medicare & Medicaid Innovation. In February 2015, the Centers for Medicare & Medicaid Services (CMS) invited oncology physician group practices to participate in the OCM, an alternative payment model based on six-month episodes for cancer care for Medicare fee-for-service (FFS) beneficiaries undergoing chemotherapy treatment. The six-year OCM began with six-month chemotherapy treatment episodes, starting on July 1, 2016, and operated for 11 consecutive six-month performance periods (PPs). The last episodes ended on June 30, 2022.

Navigating the CMS 2025 Physician Fee Schedule Final Rule

MRO | November 21, 2024

The Centers for Medicare & Medicaid Services (CMS) 2025 Physician Fee Schedule (PFS) Final Rule brings notable updates to the Quality Payment Program (QPP), which will impact eligible clinicians, groups, virtual groups, subgroups, and APM entities. Whether you’re participating through MIPS, MVPs, or an ACO, these changes offer opportunities to streamline reporting, leverage new scoring adjustments, and enhance patient care. Let’s break down the updates. CMS’s 2025 rule focuses on refining the QPP to support improved interoperability, reducing reporting burdens, and increasing flexibility for participants. For MIPS, MVPs, and APMs, the updates emphasize quality, efficiency, and tailored reporting options. 

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Advancing Equitable Access to Elevate Value-Based Cancer Care

AJMC | November 21, 2024

The first regional event of Institute for Value-Based Medicine,® {IVBM), held in Boston, Massachusetts, in September 2024, brought together top minds from the top cancer centers in Massachusetts and Connecticut to examine the fine line between wanting to take value-based cancer care to the next level and considering how to bring advancements in precision medicine and targeted treatment to patients who not only need them but meet criteria to receive them. It was the first time an IVBM event was held in Boston, and the theme was “Elevating Value in Cancer Care.”

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‘Friction,’ risks limit nursing home value-based participation, but CMS remains committed to the transition

McKnight's | November 15, 2024

The Medicare program is approaching a “tipping point” on its journey to move all beneficiaries into value-based care arrangements, but policymakers, health systems and insurers need to do more to convince reluctant providers to get involved, a panel of experts said Thursday. The Centers for Medicare & Medicaid Services in 2021 set a goal of having all Medicare beneficiaries in some type of value-based care relationship by 2030.

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Top 5 Traits of High-Performing ACOs— and 5 Common Pitfalls to Avoid

AaNeel | November 19, 2024

The recent CMS results for the Medicare Shared Savings Program (MSSP) showed record-breaking savings—over $2.1 billion in 2023. Yet, not all ACOs achieved these gains. So, what separates the high performers from those that struggle to meet savings goals? The answer lies in strategic focus, effective coordination, and the intelligent use of data. This blog delves into the top characteristics of successful ACOs and explores the common mistakes that hinder shared savings.

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ANNOUNCEMENTS

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.

Healthcare's (Not-so)Secret Weapon: Combining the Power of Advanced Data Analytics with In-depth Price Transparency

December 3, 2024 | 1 PM EST

The workings and importance of advanced data analytics and price transparency, and how to reap the ultimate benefits by combining them

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A Payer’s Pathway to an Integrated Fraud, Waste, and Abuse Program

December 5, 2024 | 1 PM EST

Actionable insights and tools to strengthen an organization’s defenses against FWA

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The Crucial Role of Professional Caregivers Post-COVID: Prioritizing, Retaining, and Growing the Workforce

December 10, 2024 | 1 PM EST

Recognizing and supporting professional caregivers, and the funding models that can help drive investment into sustainable caregiving careers

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Post-acute care: The nexus of VBC success

December 11, 2024 | 12 PM EST

How to identify at-risk patients, capture avoidable hospital readmissions, and build collaborative partnerships by utilizing real-time information sharing with hospitals and ACOs

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Essential Risk Adjustment Insights 2025-2026: Keeping Health Plans & Providers Ahead of Regulatory & Compliance Challenges

December 12, 2024 | 2 PM EST

 A recommended risk adjustment calendar for both years, best practices for health plans and providers, and changes in OIG audit procedures

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Addressing Patient Leakage in Value-Based Care Organizations

December 17, 2024 | 1 PM EST

Exploring strategies for reducing patient leakage, enhancing referral processes, and driving better outcomes in VBC organizations

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Implementing eCQM Reporting: Success Stories and Professional Tips From An Early Adopter

December 18, 2024 | 1 PM EST

Firsthand insights from an APP early adopter and established ACO colleague who has reported for multiple performance years, and practical tips from Patient360 experts on achieving shared savings with eCQM reporting.

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Unlocking the Connection Between Patient Experience and Provider Satisfaction to Drive Results That Matter

December 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

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Check back next week for more webinar announcements!

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Recorded Webinars

Clinical Blind Spots: Solving for What’s Around the Corner in Value-Based Care

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

Watch or Listen to Recording

Check out our Webinar Archive to view past webinars on a variety of value-based care related topics!

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Upcoming Conferences

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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Exhibitor Spotlight

Newly-Listed


VBCExhibitHall welcomes a new Platinum-level exhibitor! 

Introducing:

TCARE supports caregivers through the complexities of caregiving to help health plans, employers, and families get to a place of better care. Thier tailored, data-driven care plans assess and address identity discrepancy to provide caregivers with the right interventions at the right time to reduce their burnout risk.

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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:

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!

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