Serving the Value-Based Care Community
November 25, 2022
Welcome to this week's issue of VBC Newsstand brought to you by VBCExhibitHall.com
Happy Thanksgiving to all of our readers! We at VBCExhibitHall.com would like to express our sincerest gratitude to our subscribers and exhibitors, and to all who are striving to make the world a better place for all through value-based and equitable healthcare. May you have a safe weekend and enjoy all of the gifts that this holiday season has to offer!
Traditionally, healthcare in the U.S. has been based on a fee-for-service reimbursement model, where providers are paid for each service delivered to patients. The problem with this model is that pay is tied to volume, not outcomes— in fact, providers are incentivized to perform extra testing and procedures, emphasizing treatment at the expense of prevention and wellness.
To address this misalignment in incentives, healthcare has been moving toward a value-based care (VBC) model, where pay is tied to outcomes and providers are financially rewarded to keep patients healthy.
The introduction of the phrase “value-based care” into the industry lexicon can be tracked back to 2010 driven by the reforms of the Affordable Care Act (ACA). The HMOs of the 1990s weren’t balanced with quality, access, consumerism, nor were they tech enabled. They indeed failed spectacularly but moving back to FFS indefinitely wasn’t the answer either. Lessons learned were applied to the Medicare Advantage modernization aspects of the ACA to align quality, cost and consumerism. The ACA also came with the commitment from the government for continued payment model innovation through the Center for Medicare and Medicaid Innovation (CMMI) which started a new value-based care arms race in the private sector.
When older adults consider enrolling in a Medicare Advantage (MA) health plan they may consider the plan’s Star Rating as a factor. Medicare’s Star Ratings program is designed to help older adults compare MA plans based on quality and performance. It is a scale from 1-5, with five being the highest, that considers quality and patient experience data, as well as health plan operations. Healthcare practices can play a key role in patient experience.
Healthcare Finance | November 15, 2022
The Centers for Medicare and Medicaid Services is looking to improve its data in ways that contribute to a fairer healthcare system, including continuing the development of equity scores and refining the Health Equity Summary Score, as well as addressing bias in various tools and methods. The CMS Framework for Health Equity outlines this approach, and the agency said it recognizes that “increasing the collection of standardized sociodemographic and social determinants of health (SDOH) data across the healthcare industry is an important first step towards improving population health.” To strengthen and improve the accuracy of enrollee health equity data, CMS has enhanced the collection of data elements across its programs, including limited collection of SDOH data or Health-Related Social Needs (HRSN) data.
Sponsored Webinars
UPCOMING WEBINARS:

Technology Trends that Put the Patient First
& Bridge the Interoperability Gap
  • Topic: Exploring the healthcare industry's focus on interoperability, technology trends that focus on bridging the gap, and the benefit of successfully deploying interoperable solutions
Sponsored by: Proficient Health
November 29, 2022 | 1 PM EST

Digesting the Alphabet Soup of Medicare’s Final Rule for 2023: APP, MIPS, MVPs, and more!
  • Topic: Learning and understanding key changes for 2023, and receiving insight and guidance on how to adjust and succeed
Sponsored by: Salient Healthcare
December 6, 2022 | 1 PM EST

RECORDED WEBINARS:

Real Social Influencers: Pioneering Quality Measures for SDoH Resources
  • Topic: Examining the case study of two organizations working together to break down barriers and build a stronger community by effectively addressing SDoH needs
Sponsored by: HealthEC
November 17, 2022 | 11 AM EST

Impact of (final rule) 2023 Medicare Physician Fee Schedule on your ACO’s financial decisions
  • Topic: Quantifying the impact of MPFS on your ACO and taking a practical approach to making hard financial decisions
Sponsored by: Validate Health

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

Upcoming Conferences
2022 Population Health Equity Virtual Summit
December 1, 2022 | Virtual

2023 Social Determinants of Health Summit
January 23-24, 2023 | San Diego, CA

Virtual Value-Based Payment Summit: Special Edition
Held in conjunction with Health Care Value Week
January 23-27, 2023 | Virtual
Spotlight Feature
Alleon Healthcare Capital is a privately held specialty finance company focused on providing cash flow solutions and medical receivables financing to healthcare providers in the U.S. Since 2009, Alleon has funded over $250,000,000 for healthcare providers. Whether a provider or organization's goal is meet payroll and other expenses, expand their practice, fund a construction project, or purchase new equipment, Alleon's understanding of medical billing, collection services, and revenue cycle management makes them an excellent finance partner for healthcare-focused entities.
Platinum Level Exhibitors
Thank you to our Platinum Level exhibitors. These organizations offer the absolute highest quality products & services to the ACO & IPA comty. 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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