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.
- Shawna Dodds, Vice President of Product Development, Cigna
Source: Value Based Payment News, Volume 7 Issue 3, February First Edition 2021, "Rand Study Finds Most Health Systems Still Base Payments on Volume."
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Changes in Age-Adjusted Hospitalization Rates for 12
Conditions, 2007 to 2016 1. Diabetes long-term complications: 12.5% relative decrease 2. Uncontrolled diabetes: 37.0% relative decrease 3. Hypertension: 20.3% relative decrease 4. Heart failure: 22.7% relative decrease 5. Asthma in younger adults: 28.7% relative decrease 6. Pneumonia: 38.6% relative decrease 7. Perforated appendix: 21.8% relative decrease 8. Diabetes short-term complications: 46.9% relative increase 9. Lower-extremity amputations: 15.1% relative increase 10. Asthma and COPD in older adults: nonsignificant decrease 11. UTI: nonsignificant decrease 12. Dehydration: nonsignificant increase Notes: From an article entitled, "Trends in quality of primary care in the United States, 2007–2016," by Anshul Saxena, Venkataraghavan Ramamoorthy, Muni Rubens, Peter McGranaghan, Emir Veledar and Khurram Nasir. This retrospective trend analysis of the National Inpatient Sample (NIS) data collected during the period 2007–2016 assessed the quality of primary care using sets of preventable hospitalization conditions defined as Prevention Quality Indicators (PQIs). PQI hospitalization decreased from 154,565 to 151,168 per million hospitalizations during the study period, a relative decrease of 2.2%. Source: Scientific Reports, February 7, 2022 |
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Designing Value-Based Payment Innovations for Pediatric-to-Adult
Transitional Care
This webinar is intended to assist state Medicaid agencies,
commercial insurers, health plans, and pediatric and adult
practices to expand their value-based efforts around
pediatric-to-adult health care transition. It does so by 1)
discussing a step-by-step approach to designing value-based
payment (VBP) innovations for pediatric-to-adult transitional
care, and 2) hearing from senior officials in two large Medicaid
MCOs. |
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Becker's Hospital Review, February 22, 2022
American Association for Physician Leadership, February 18, 2022
Becker's Hospital Review, February 17, 2022
Premier blog, February 17, 2022
Center for Health Care Strategies, February 16, 2022
Pharmacy Times, February 10, 2022
MDLinx, February 7, 2022
HIT Consultant, February 3, 2022
Healthcare Dive, February 2, 2022
Healthcare Dive, January 28, 2022
In this month's first issue:
- Rand Study Finds Most Health Systems Still Base Payments on Volume
- Value-Based Care Snapshot and Outlook
- CMS 2023 MA and Part D Advance Notice Includes Value Based Care Star Ratings Measure
- Black Book Value-Based Care Consultant Ratings
- Industry News: Curation Health Announces Strategic Partnership with Echo Health Venture; P3 Expands to California, Acquires Medcore HP and Omni IPA Medical Group; Jasper Health Raises $25 Million in Series A Funding; Vynca Secures $30 Million in Funding to Expand Integrated Palliative Care Platform
In this month's second issue:
- New Report Shows Just 14.3% of Hospitals Complying with Hospital Price Transparency Rule
- Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars by Jordan Rau
- New Research Examines Long-Term Acute Care Hospitals Contribution to Value-Based Care Models
- AHRQ Grantee Profile: Assessing the Impact of Value-Based Purchasing Programs
- Industry News: Fresenius Medical Care North America Partners with 1,000+ Nephrology Providers for New Kidney Care Payment Models; Strive Health Becomes Largest Non-Dialysis Company to Participate in Innovative New Payment Model; ConcertoCare Raises $105 Million to Expand Value-Based, At-Home Care Model to More Seniors with Unmet Health and Social Needs
Click here to view a brief (under 2 minutes) video with more
information
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