This MCOL podcast features a discussion by Doug Sherlock, Senior Health Care Analyst and President, Sherlock Company (www.sherlockco.com), featuring his insights into the quarterly financial performance of value based care organizations for the third quarter 2021.
- Beth Marootian, M.P.H., Director of Strategy and Business Development, Neighborhood Health Plan of Rhode Island
• 40.9% of health care payments, representing 80.2% of covered lives, flowed through an APM in 2020.
• 58% of health care payments from MA plans were tied to APMs in 2020.
• Commercial adoption of APMs increased from 30.1% of payments in 2018 to 35.5% in 2020.
• Medicaid showed great progress in moving from 23.3% of payments through APMs in 2018 to 35.4% in 2020.
Source: Value Based Payment News, Volume 7 Issue 1, January First Edition 2022, "HCP-LAN Survey Results: Increase in Alternative Payment Model Adoption."
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5 Most Prevalent Low-value Services Delivered in
Pediatric ERs 1. group A streptococcal testing among children younger than 3 years with pharyngitis: 37.6% 2. computed tomography scan for minor head injury: 17.7% 3. bronchodilators for treatment of bronchiolitis: 16.0% 4. chest radiography for bronchiolitis: 15.6% 5. chest radiography for asthma: 15.4% Notes: From an article entitled, "Development and Use of a Calculator to Measure Pediatric Low-Value Care Delivered in US Children’s Hospitals," by Samantha A. House, DO, MPH; Matthew Hall, PhD; Shawn L. Ralston, MD, MS; et. al. Study reflects 1,011,950 encounters reported in 49 US children’s hospitals contributing to the Pediatric Health Information System (PHIS) database. Source: JAMA Network Open, December 30, 2021 |
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Healthcare Analytics for Value Based Care Initiatives
Brian Murphy, Senior Research Director at Chilmark Research,
explains how analytics can be applied to disparate and diverse
clinical, operational, and financial data to support standing up
and managing value-based care initiatives. Brian also walks
through the benefits of implementing a Health Cloud Data
Analytics Hub to collect and analyze the necessary data for VBC
contract monitoring and optimization. |
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The Commonwealth Fund, January 19, 2022
RevCycle Intelligence, January 19, 2022
JAMA Network, January 14, 2022
Health Catalyst, January 12, 2022
HealthLeaders, January 6, 2022
Roji Health Intelligence, January 6, 2022
State of Reform, December 30, 2021
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Task Force Releases New Clinical Episode Model
Resources Health Care Transformation Task Force News Release, January 15, 2022 |
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A public health value-based healthcare paradigm for
HIV BMC Health Services Research, January 2, 2022 |
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Leveraging VBP Models to Reduce Health Inequities in
Radiology Journal of the American College of Radiology, January 1, 2022 |
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Development and Use of a Calculator to Measure
Pediatric Low-Value Care JAMA Network Open, December 30, 2021 |
In this month's first issue:
- How Your Peers Are Committing to Advancing Value-Based Care By Sophia Hurr & Clare Wirth
- HCP-LAN Survey Results: Increase in Alternative Payment Model Adoption
- Engaging Essential Hospitals in Value-Based Care
- Next Gen ACO Coalition Rebrands as Value Based Care Coalition
- Industry News: Renown Health and Anthem Partner to Extend Medicaid Value-Based Care in Nevada; Humana and Vancouver Clinic VBC Relationship Adds Enliven Program in Oregon; Regence Adds Strive Health Value Based Kidney Care Program
In this month's second issue:
- What Your Peers Said It Would Take to Get to Meaningful Risk, by Clare Wirth, Daniel Kuzmanovich & Ryan Furr-Johnson
- Wall Street, M&A and Expansion Initiatives Fueling Growth in Value Based Primary Care Models
- Research Briefs
- Moving Up….Ellen Harrison, Seth Frazier and Dr. Rodrigo Cerdá
- Industry News: Genesis Health System and MercyOne; Quest Diagnostics and Pack Health; ValueHealth and Penn State Health; and Sana Health
Click here to view a brief (under 2 minutes) video with more
information
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