Serving the Value-Based Care Community | |
| |
|
Policymaker confidence in Value-Based Care and the Accountable Care Organization (ACO) model has, so far, prevailed despite only small overall savings. There is still enduring belief that ACOs can rationalize health care and produce affordability by transformative strategies. But here’s where wishes and reality conflict: ACOs have, until now, lacked the data and tools to transform health care. The ACO savings results support the promise but not the delivery of affordable health care. The fact is that ACOs must deliver on the affordability of the promise, or as the shift to risk payment models continues, there will be financial consequences for ACO providers. And now is the perfect time to start, since new patient data is becoming available to ACOs that gives them greater ability to better reduce patient risk and patient utilization. | | |
Stakeholders are pleased with a Centers for Medicare & Medicaid Services (CMS) proposed rule to address the impact of widespread anomalous billing and suspected fraud involving urinary catheters that impacted Medicare accountable care organization (ACO) results. According to a Feb. 24 story in the New York Times, more than 450,000 Medicare beneficiaries accounts were billed for urinary catheters in 2023, up from about 50,000 in previous years. The data came from a report produced by the Institute for Accountable Care and NAACOS. “The massive uptick in billing for catheters included $2 billion charged by seven high-volume suppliers, according to that analysis, potentially accounting for nearly one-fifth of all Medicare spending on medical supplies in 2023,” the Times story noted. | |  |
Value-based care — in which medical practices are paid based on the value of their care, not on volume — is a good idea but the Centers for Medicare & Medicaid Services (CMS) need to improve its implementation, doctors and a healthcare executive told members of the House Ways & Means Health Subcommittee. “I am a proponent of the need to move to value-based care, improving quality while decreasing wasteful spending and ensuring access,” Robert Berenson, MD, an institute fellow at the Urban Institute in Washington, D.C., said at Wednesday’s subcommittee hearing on improving value-based care for patients and providers. “However, I believe that value-based payment as a mechanism to promote better care delivery has gotten off track and needs a thorough reevaluation and reformulation.” | | |
|
VBCEH Exhibitors
in the News!
Featuring CareJourney
| |
This week, health data platform Arcadia made an acquisition that CEO Michael Meucci thinks will give the Boston-based company the data it needs to offer a more comprehensive suite of value-based care technology for its customers.
It bought Arlington, Virginia-based CareJourney, a health analytics firm designed to facilitate participation in value-based care contracts. The acquisition comes six months after Arcadia sold its value-based care service division to Guidehealth. Through the two deals, Arcadia is sharpening its focus on providing the right data and technology to enable value-based care, instead of operating in both the technology and services sides of value-based care enablement, Meucci declared.
| | |
(Thomas H. Lee, MD, MSc, interviews Rob Allen, President and Chief Executive Officer for Intermountain Health.) This is Tom Lee, Editor-in-Chief of NEJM Catalyst, talking today with Rob Allen, the President and CEO of Intermountain Health, the integrated delivery system in the inner-west [United] States, headquartered in Salt Lake City. At the JPMorgan Healthcare [Conference] this January, I heard Rob speak about Intermountain strategies, and he described two interesting focuses. The first was expanding value-based care, and the second was simplifying care for patients, caregivers, and health plan members. I asked him if he would discuss them a bit further for the NEJM Catalyst audience, and he was kind enough to say yes. Rob, I think most of our audience knows something about Intermountain, but some may not have the full picture — plus Intermountain is changing. Can you give us a snapshot of Intermountain today? | | |
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. | | |
Why ACOs should prioritize fall prevention | The importance of fall preventions for older adults, the cost impact falls are having on organizations, the common ways in which fall prevention is addressed today (and their barries), and the best evidence-based strategies to reduce the risk of falls | | |
Surviving and Thriving Under the Persistent Movement to Value-Based Care Arrangements | July 11, 2024 | 12 PM EST | The evolution of VBP arrangements and projections for growth, outcomes under VBC programs, and the importance of data mining to identify insights that drive success | | | |
How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey, Part Three | |
CMS National Quality Strategy and the CMS Innovation Center, and the ways in which they can provide the foundation of your plan
(Part Three of Three: Maintaining Your Competitive Edge: How to Avoid Stagnation)
| | |
Solving V28: How National Interoperability and AI Can Address Value-Based Care’s Top Challenges | An overview of TEFCA and the current state of interoperability, and how AI can help solve some of the largest challenges around medical record readability, patient history summarization, and more | | | |
How the CMS National Quality Strategy Can Guide You on Your Value-Based Care Journey, Part Two | |
CMS National Quality Strategy and the CMS Innovation Center, and the ways in which they can provide the foundation of your plan
(Part Two of Three: Using Innovation Center Models to Drive Efficient Specialty Care)
|
| |
Interoperability & TEFCA: The Road that Got Us Here, Where We Are Now, What's Next | The pivotal journey of interoperability in healthcare, exploring the significance of the Trusted Exchange Framework and Common Agreement (TEFCA), current data insights, and future directions | | |
Check out our past webinars on a variety of value-based care related topics: | |
|
Visit the free webinar archive today!
| | |
Virtual First National Speciality Care Transformation Summit | October 8 - 11, 2024 | Virtual | | | |
Salient Healthcare makes it easy for users to clearly understand the relationship between all relevant data sources – diagnostic, prescriptive, claims, payments, and patient activity – helping to improve healthcare outcomes at lower costs. Their industry-leading analytics software platform provides visibility into critical metrics for provider organizations to continuously improve performance, delivering a continuous performance solution. Salient’s approach to continuous improvement is to enable decision makers to take timely and precise action to eliminate waste or expand opportunity. With their decades of experience in value-based care programs, Salient Healthcare can quickly find opportunities to reduce costs, improve outcomes, and achieve shared savings 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 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! | | | | |
