VBP Bulletin
  Complimentary from the publishers of VBP News                                January 2021  
     
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Quote
  "If a service is truly low-value care (and its absence will have) minimal or no negative effects on health or quality of care ... steps should be taken to ensure it’s not reintroduced into the system or, at minimum, its use should be reduced."
-Corinna Sorenson, Ph.D., M.H.S.A., M.P.H., Assistant Professor of Population Health sciences, Duke University School of Medicine.

 
Factoid
  A retrospective study of Medicare Part B claims from over 8 million randomly chosen beneficiaries published in Annals of Internal Medicine, found that annual spending on low-value Part B services was $171.33 per beneficiary, or 4.2% of total Part B spending ($4,063.49 per beneficiary) and 1.4% of total Medicare spending ($11,991.99 per beneficiary).

Source: Healio, January 19, 2021, "PCPs perform small percentage of low-value services."
 
 
HealthSprocket List
 
Managed Healthcare Executive: 5 Value-Based Care Insights from the State of the Industry Survey

1.
18% of organizations have not yet started the shift to value-based care
2. 32% have only started a few cost-only initiatives
3. 21% are focused mostly on value-care
4. 10% have a few quality-only initiatives
5. 19% have many cost/quality initiatives.

Source: Managed Healthcare Executive, December 26, 2020
     
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare The Final Rule Insights on the Future of the Quality Payment Program Based on the 2021 Final Rule

Panel includes Laurne Patrick, Healthmonix; Micheal Lewis, Healthmonix; Joy Rois, Chirpybird; and Seretha Curry, Healthmonix.

 
 
  Check out HealthshareTV, the home for health care videos 
 
 
 
Insights
  Will COVID-19 Wring Low-Value Healthcare out of the System?
Managed Healthcare Executive, January 22, 2021
 
     
  A New Administration, Value-Based Payment to Dictate 2021 Success
RevCycle Intelligence, January 22, 2021
 
     
  Fraud and Abuse Rules Part III: New Value-Based Arrangement Protections
JD Supra, January 21, 2021
 
     
  The Complexities of Measuring Quality in Medicaid Value-Based Care
Perspectives blog/Cognizant, January 15, 2021
 
     
  New Federal Exceptions Favor Value-Based Care
The National Law Review, January 15, 2021
 
     
  The Work of Integrating Pharmacists into Value-Based Care Continues
GoodRx, January 15, 2021
 
     
  Examining the Shift to Value-Based Kidney Care Delivery in 2021
American Journal of Managed Care, January 12, 2021
 
     
  CMS Finalizes Rule on Value-Based Payments for Medicaid Drugs
America's Essential Hospitals, January 12, 2021
 
     
  CMMI Shares Lessons on Value-Based Care from Its First Decade
HealthPayer Intelligencee, January 12, 2021
 
     
  VBC Expert Talks Best Practices to Optimize VB Contracts for Providers
HIT Consultants, January 11, 2021
 
     
What's News
 
Effects of employer-offered high-deductible plans on low-value spending
Journal of Health Economics via ScienceDirect, abstract only, March 2021
 
MS Takes Action, Announces Intent to Expand Home Health VBP Model
Centers for Medicare & Medicaid Services News Release, January 8, 2021
 
The Need for New Cost Measures in Pediatric Value-Based Payment
Pediatrics, January 8, 2021
 
Effect of Proposed Episode-Based Payment Models on RT Procedures
Journal of Clinical Pathways, January 5, 2021
 
Evaluating the robustness of CMS Hospital VB Purchasing measurement system
Health Services Research, abstract only, January 4, 2021
 
 
This Month in VBP News
 
 

In this month's first issue:

  • Washington DC Watch: NAACOS Pans CMMI's Geographic Direct Contracting Model
  • CQMC Unveils More Core Measure Sets 'Aimed at Improving Transition to Value-Based Care'
  • Industry News: with briefs regarding CareSource and Healthify Pair; Regence and MultiCare

In this month's upcoming second issue:

  • CAQH CORE Issues New Operating Rules to 'Improve Connectivity, Accelerate Transition to Value-Based Payments'
  • 'Prospective Implementation of a Consultative Store-and-Forward Teledermatology Model at a Single Urban Academic Health System with Real Cost Data Subanalysis'
  • Washington DC Watch: CMS Drops Final Rules for DUR, 'Supporting Value-Based Purchasing for Drugs'
  • Viewpoints: 'New Value-Based Health Care Directions You’ll See In 2021'
  • Industry News: with briefs regarding Humana and Boehringer Ingelheim

Click here to view a brief (under 2 minutes) video with more information

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