Serving the Value-Based Care Community | |
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Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com
and spotlighting our Gold-level exhibitor Lucerna!
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Health Affairs| May 7, 2024
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The United States has the highest maternal mortality rate of any industrialized country, and it has increased in recent years. Other more common negative maternal health outcomes such as severe maternal morbidity are also on the rise. Improving the quality of perinatal care to address these poor maternal health outcomes is a pressing policy concern. More than 40 percent of births in the US each year are covered by Medicaid (exhibit 1), including 64 percent of births to Black birthing people, making changes to federal Medicaid policy or state Medicaid programs potential policy levers for addressing maternal health and maternal health equity. | | |
Attaining health equity remains a paramount objective for health care professionals aiming to transcend the impact of socioeconomic factors on individuals’ health outcomes. The Centers for Medicare & Medicaid Services (CMS) has emphasized advancing health equity to address care disparities. Despite this effort, many communities grapple with health care access and outcomes disparities, often exacerbated by administrative hurdles like prior authorization processes. Prior authorization can intensify the issue of health inequity further as it’s a significant factor in using social determinants of health (SDOH) to make vital care decisions. Studies have shown that prior authorization disproportionately affects low-income patients, people of color, and those living in underserved areas. | |  |
Established healthcare organizations, whether it be health systems, accountable care organizations, or independent provider groups often grapple with the dilemma of fully embracing risk. Fears of taking downside risk and capitation payments are intimidating given the known unknowns regarding participating in fully risk-based programs, regardless of whether one operates within the Medicare Shared Savings Program or ACO Reach. Accommodating varying provider maturity levels and comfort with risk is crucial. By offering blended options, individual risk pools, and net neutral capitation payments providers can embark on their journey toward value-based care at a pace aligned with their tolerance and readiness. | | |
CareFirst BlueCross BlueShield and Children’s National Hospital in Washington, D.C., have entered into a value-based care alliance to address three key priority health conditions: behavioral and mental health, diabetes, and infant mortality. The first initiative involves addressing the youth mental health crisis. As part of this alliance, nonprofit CareFirst has increased the reimbursement for preventive and mental healthcare for primary care providers who go through specialized mental health training focused on depression, suicide prevention, anxiety, ADHD and eating disorders. | | |
On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) unveiled its 2024 Physician Fee Schedule final rule. It includes changes to greatly increase access to behavioral healthcare for Medicare beneficiaries. Because many compliance rules in behavioral health will be changing in 2024, and simultaneously, a new set of behavioral health professionals will be entering the Medicare program for the first time, there’s never been a better time for a compliance review on behavioral health. | | |
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. | | |
Your ACO Guide to Targeting Costs with Data-Driven Strategies: Data Flush? Best ACO Options for Prioritizing Cost Initiatives Based on RoI | |
The types of data that ACOs have available to them for targeting avoidable costs, and which strategies make the biggest gains
(Part three of a three-part series; focuses on EHR aggregated data)
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Beyond GUIDE: How data-driven strategies are paving the path for better dementia care |
A case study of how data-informed approaches are being used within dementia care to identify critical areas of need, address underdiagnosis, promote health equity, and improve patient outcomes | | | |
Navigating MSSP Quality Reporting: EHR Connection vs. QRDA-1 | Expert insights on the pros and cons of direct Electronic Health Record (EHR) connections versus utilizing QRDA-1 for data uploads | | |
An Inside Look: The Formula for Health Engagement and Revenue Growth | How to boost engagement and revenue using integrated and enriched health plan and provider data, analytic capabilities, and personalized campaigns | | | |
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The Medicare Advantage V28 transition:
What we learned in year 1
| The impact of V28 on revenue, key diagnoses to focus on, and data- and clinically-driven mitigation strategies. | | |
Check out our Webinar Archive to view past webinars on a variety of value-based care related topics! | | | |
APG Spring Conference 2024 | May 29 - 31, 2024 | San Diego, CA |
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Virtual Fifth National Medicare Advantage Summit | July 9 - 12, 2024 | Virtual | | | |
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On occasion, we showcase one of our solution providers in a 4-5 minute interview and ask them what they bring to the VBC Community and what sets them apart.
Today's guest:
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Discover Lucerna - Your path to making value-based care (VBC) work for better health and better business results! Lucerna's innovative healthcare technology and deep industry expertise enable them to help health organizations achieve growth, health outcomes, and revenue goals with their proven playbook. Lucerna believes that payer-provider collaboration and consumer-focused healthcare are essential requirements for VBC success. Lucerna's HITRUST R2-certified LEAP VBC OS platform drives data management & analytics, digital enablement, patient-provider matching, and smart patient engagement. With a unique turn-key managed services approach, Lucerna delivers impactful results in Patient Growth, Navigation, Engagement, and Experience for their clients. | | | |
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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! | |
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Special Disclaimer
Unless stated otherwise, the opinions expressed in the articles featured in VBC Newsstand Weekly and the VBCExhibitHall.com Resource Library are those of individual authors and publishers and do not necessarily reflect the views of VBCExhibitHall.com or its team members (unless otherwise stated). We strive to provide a variety of perspectives on healthcare topics to promote diversity of thought and to foster informed discussions. VBCExhibitHall.com is not affiliated with the authors or publishers of the articles featured in this newsletter and does not have control over their content or editorial decisions. While we make efforts to carefully select and curate articles from reputable sources, VBCExhibitHall.com cannot guarantee the accuracy or completeness of the information provided in the featured articles. We do not assume any responsibility or liability for any errors, omissions, or inaccuracies in the content.
If you have any concerns about the content or suggestions for future articles, please feel free to reach out to us directly. We appreciate your understanding and continued support.
Sincerely,
The VBCExhibitHall.com Team
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