Serving the Value-Based Care Community |
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Managed Healthcare Executive | June 27, 2023
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With all the recent buzz around generative artificial intelligence (AI) related to ChatGPT, it’s reasonable to have mixed reactions to emerging technologies. However, many AI technologies — including optical character recognition, natural language processing and machine learning — are widely established and proven highly reliable in driving healthcare innovation for payers, providers and patients. AI has enormous potential to accelerate value-based care models and is already critical for success in risk adjustment, quality improvement and member management programs. Employing AI-driven technology ensures accurate and timely compliance with industry regulations, mitigates audits and fines, and helps forecast accurate reimbursements. The following are three key reasons AI is critical to the success of value-based care. |
MedPage Today |June 23, 2023
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The physician payment system instituted under the Medicare Access and CHIP Reauthorization Act (MACRA) has brought some positive results but still needs to be improved, witnesses said Thursday at a House of Representatives hearing. “Despite the good intentions of policymakers, MACRA has not solved the issues with how Medicare pays doctors,” Joe Albanese, policy analyst at the Paragon Health Institute, said at a to assess how successful the law has been. In addition, “MACRAs’ value-based care programs have not significantly improved the quality of healthcare services.” |
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Hospice News | June 28, 2023
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When deployed at scale, palliative care can help achieve many of the health care systems current goals, including reduced costs, improved patient satisfaction and quality of life. Despite this potential, existing programs hit barriers created by misconceptions about palliative care among referring physicians, as well as health equity concerns, among others, according to an analysts of four payment model demonstrations carried out by the Center for Medicare & Medicaid Innovation. The agency’s findings will likely inform the development of future payment models as the U.S. Centers for Medicare & Medicaid Services (CMS) takes a multifaceted approach to further palliative care integration. |
MedCity News | June 27, 2023
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One of the primary goals for Medicare Advantage (MA) and other value-based care (VBC) programs is to effectively manage patients’ chronic conditions and avoid complications, including hospital admissions and re-admissions, and costly interventions. To accurately compensate providers for the care of these patients, VBC programs rely on clinical risk scores based on the diagnoses for which a patient is receiving care. However, while it may seem like a straightforward process, finding and documenting the information required for accurate VBC risk assessment is not always easy. |
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UPCOMING WEBINARS:
MIPS Value Pathways (MVPs): How to Succeed in Post-Traditional MIPS
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Topic: Creating and implementing an MVP strategy now that will provide an advantage in the future
July 11, 2023 | 1 PM EST
Client Review: How Harnessing Healthjump’s EHR Data Results in Time Savings for Practices
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Topic: How Healthjump's innovative EHR platform has revolutionized practices with seamless integration, workflow efficiency, and financial advantages
July 13, 2023 | 1 PM EST
Accelerate Clinical and Financial Insights with Near-Real Time Data
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Topic: Adopting data through the recent Beneficiary Claims DATA API (BCDA) enhancement to advance patient prioritization, care coordination, financial forecasting, adverse event notification and more
July 18, 2023 | 1 PM EST
Leveraging digital health to improve quality metrics that matter
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Topic: How leveraging digital tools can help with efficient meaningful patient data collection, enhance clinical efficiency, and decrease cost of care with proactive interventions
July 20, 2023 | 1 PM EST
RECORDED WEBINARS:
Succeeding in Traditional MIPS (While You Still Can)
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Topic: Developing and deploying a traditional MIPS strategy that earns incentives (and avoids penalties) now, and leads to future success
Ongoing OIG Risk Adjustment Scrutiny: Top 3 Key Insights for ACOs, Payers, CINs and Providers
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Topic: Understanding OIG Risk Adjustments audits, learning to identify potential audit threats, and developing solutions to mitigate risk, elevate member quality-of-care, and improve outcomes
Check our our Webinar Archive to view past webinars on a variety of value-based care related topics!
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2023 Virtual National Advanced Healthcare at Home Summit
July 11-14, 2023 | Virtual
RISE West 2023
August 28-30, 2023 | Dallas, TX
-Register by 11:59pm TODAY (6/30/23) to save $600 with Early Bird Rate!-
Activate2023
September 27-28, 2023 | Minneapolis, MN
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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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CareJourney is a leading source of provider cost and quality analytics for the healthcare industry. They support payers, value-based networks and numerous ACOs, helping them assess value-based care models, optimize provider performance, coordinate patient care and uncover market growth opportunities. CareJourney does this by consolidating and enriching Medicare FFS, Medicare Advantage and Medicare and Commercial claims data for more than 275M lives to produce over 300 key provider performance indicators for more 2M+ Physicians.
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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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