Serving the Value-Based Care Community
September 1, 2023
Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com
Accountable Care Organizations (ACOs) know they need to follow regulations. That means adhering to Centers for Medicare & Medicaid Services (CMS) requirements for REACH ACOs to develop and maintain comprehensive health equity plans. For 2023, REACH ACOs are not being penalized for their health equity plan if it does not work in practice and only works on paper. However, next year REACH ACOs will have to show success, and by kicking the can down the road they risk not knowing enough about their patient population in terms of what works better and what doesn’t. With the first year of such requirements already halfway underfoot, some ACOs many already feel the pain of actually complying with the requirement in practice.
The American Hospital Association wants it to be easier for hospitals nationwide to begin adopting episode-based payment models, such as bundled payments, the trade association wrote in a recent letter to the Centers for Medicare and Medicaid Services (CMS). The letter addressed to CMS Administrator Chiquita Brooks-LaSure comes in response to a CMS request for information (RFI). It outlined a number of changes and guidelines that AHA says CMS should bear in mind while developing episode-based payment models. AHA hospitals are no stranger to bundled payment models developed by the Center for Medicare and Medicaid Innovation (CMMI), with the organization touting experience with Bundled Payments for Care Improvement (BPCI), BPCI Advanced (BPCI-A), and Comprehensive Care for Joint Replacement (CJR).
The health care industry is constantly evolving, and value-based care (VBC) has emerged as a transformative force in the pursuit of better patient outcomes. While VBC is not new, technological advances in recent years have made it possible to identify risks and opportunities for individuals and entire patient populations. Technology also facilitates early interventions that reduce acute events and is reshaping health care delivery for the better. The traditional fee-for-service model that has dominated health care for decades is broken. It incentivizes all the wrong behaviors, focusing on the volume of care rather than care quality and outcomes. Shortcomings like fragmented care, rising costs, and focusing on treating illnesses rather than preventing them spurred a change in thinking toward VBC, where health care stakeholders are incentivized to deliver high quality care at the lowest cost. The transition to VBC has brought challenges as well as some pushback.
Healthcare Innovation | August 24, 2023
On Aug. 24, officials at the federal Centers for Medicare & Medicaid Services (CMS) announced the results of 2022 monetary savings coming out of the Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs). Federal healthcare officials praised the MSSP program for its having saved Medicare $1.8 billion in 2022. Among the highlight results: 63 percent ACOs participating in the MSSP program received shared-savings earnings, while low-income ACOs, those composed primarily of physicians, did better than did high-volume ACOs, at achieving financial savings. Healthcare associations and leaders responded to the programs results with commentary.
Sponsored Webinars
UPCOMING WEBINARS:

HCC V28 Is Coming! Learn How to Strengthen Your Risk Adjustment Efforts 
  • Topic: Transformations happening in the medical record and risk adjustment spaces, preparing to maximize revenue through coding, and a case study with Physician Care Centers
Sponsored by: Credo
September 7, 2023 | 1 PM EST

Unnecessary & Avoidable: Solutions for Emergency Department Diversion 
  • Topic: Understanding emergency department overutilizatio and how to avoid it using a consumer-centric approach
Sponsored by: mPulse Mobile
September 7, 2023 | 1 PM EST

 Don’t Let Downside Risk Get You Down:
A discussion on effectively right-sizing your risk exposure, Part 1
  • Topic: Understanding the world of risk and how to address it, including types of risk-taking organizations and risk-sharing contracts, current trends, provider risk concerns and solutions, and available carve-outs and coverage options
Sponsored by: Summit Re
September 13, 2023 | 1 PM EST

The Future of Medicaid Reimbursement: What Do Proposed Regulations Mean For Provider & Health Plan Reimbursement?
  • Topic: Understanding and preparing for upcoming changes to Medicaid reimbursement
Sponsored by: ATTAC Consulting Group
September 14, 2023 | 2 PM EST

HCC V28 - Preparing for change: Actionable strategies from
real-world analysis 
  • Topic: Understanding and preparing for the V28 transition of HCC, including the new model's impacts on risk adjustment scores, diagnoses categories, and coding
Sponsored by: Datalink
September 19, 2023 | 2 PM EST

All Roads Lead to Value-Based Care, Part 1: Intro to Value-Based Care
  • Topic: Foundational understanding of what value-based care is all about, including the definition of VBC, the rationale behind moving aware from fee-for-service towards value-based models, and different types of VBC
Sponsored by: Net Health
September 27, 2023 | 1 PM EST


RECORDED WEBINARS:

Harnessing predictive analytics to improve the impact of care delivery
  • Topic: How risk-bearing entities can use predictive analytics to evaluate past performance, divide shared savings, assess and stay on top of provider impact, and make action-based recommendations

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

Upcoming Conferences
Activate2023
September 27-28, 2023 | Minneapolis, MN

23rd Population Health Colloquium
September 18-20, 2023 | Philadelphia, PA

APG Annual Fall Conference 2023
October 30 - November 1, 2023 | Washington, DC
EXHIBITOR SPOTLIGHT
ATTAC logo
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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Gold Level Exhibitors
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