Serving the Value-Based Care Community
April 21, 2023
Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com
Healthcare Dive | April 20, 2023
While there are endless trends to prognosticate about in the healthcare world, one that is near impossible to quarrel with is that the push to value-based care will not only continue, but accelerate.
Amid all of the transformation, innovation and buzzwords in value-based care, one crucial area that is suspiciously absent is the emergency department. But before delving into why this may be the case, it’s worth taking a step back to look at how we got to this point.
On July 1, 2022, the Federal Price Transparency Rule (the Rule) went into effect for commercial health plans. Under these requirements, certain health insurers must disclose their in-network negotiated rates as well as their out-of-network allowed rates. The insurers are required to publicly provide this data on their websites as machine-readable files (MRFs) that follow a CMS-provided schema. The purpose of the Rule is to help outside organizations to understand these negotiated prices with providers in an effort to eventually help consumers price-shop for their healthcare services. While most payers comply with the Rule to some degree, the MRFs are monstrous in both size and complexity.
Private equity firms have increasingly been investing in the healthcare sector, seeking to capitalize on the industry’s growth potential and profitability. However, this trend has raised concerns over the potential impact on healthcare access and quality, as well as the ethics of profiting from healthcare services. The term “private equity” has been thrown around more frequently in physicians’ and other providers’ social circles. But the strategy behind private equity (PE) is seldom understood.
Health disparities are widening — especially in respiratory care. According to research from JAMA Internal Medicine, over a 40-year period — 1978 to 2018 — pediatric asthma rates among children from lower socioeconomic households increased nearly 400% — 210% more than the prevalence among children from wealthier homes. Similarly, COPD prevalence among low-income Americans rose by nearly 57% — 270% more than COPD rates among people from high-income families.
Sponsored Webinars
UPCOMING WEBINARS:

Improving Patient Outcomes with Equitable Health Journeys
  • Topic: Examining and utilizing data, insights, trends, and techniques for building health equity and improving patient outcomes
Sponsored by: mPulse Mobile
April 25, 2023 | 1 PM EST

Success Snapshot: How UCSF Health is improving patient outcomes through timely access to high-quality post-acute care
  • Topic: Case study of post-acute care at UCSF Health and how it has bridged care gaps, streamlined workflows, and reduced healthcare disparities, leading to improved patient access and outcomes
Sponsored by: CarePort Health
May 18, 2023 | 1 PM EST

RECORDED WEBINARS:

Impact of V28 CMS-HCC model on your ACO’s 2023 risk adjustment strategy and 2024 early renewal & track decisions
  • Topic: An educational webinar to discuss topics driven by MSSP’s adoption of the new V28 CMS-HCC risk scoring model. High financial impact and time sensitivity, since these topics are immediately applicable in 2023.
Sponsored by: Validate Health

Supercharge Your ACO to Achieve Top Value and Fuel Growth
  • Topic: Understanding, evaluating, and improving ACO economics and infrastructure at reasonable cost to achieve highest value for patients and providers
Sponsored by: Roji Health Intelligence

Check our our Webinar Archive to view past webinars on a variety of value-based care related topics!
Upcoming Conferences
2023 Virtual Fourth National Medicare Advantage Summit
April 25-28, 2023 | Virtual

2023 Pinnacle Best Practices Symposium
May 10 | Virtual

APG Annual Spring Conference 2023: Going the Distance
May 31-June 2, 2023 | San Diego, CA

EXHIBITOR SPOTLIGHT
Innovista Health Solutions is a management organization that exists to help providers succeed in value-based care by developing strong relationships, delivering innovative solutions and driving exceptional performance. Innovista enables physicians to engage, support, and manage both value-based savings and shared-risk models across Medicare, Medicaid, and Commercial programs. Innovista's strong dedication to improving patient outcomes starts with providing their physician partners with expert staffing, clinical programs, claims administration, and analytics capabilities optimized to drive effective change.
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:
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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