VBP Bulletin
  Complimentary from the publishers of VBP News                                March 2021  
     
  Sponsor Message  
Quote
  "Anesthesiologists are high-priced personnel, and when they're not being used and they're sitting around drinking coffee, it costs everybody money. The biggest opportunity is looking at the utilization of ORs and making scheduling a high priority."
- Stephen Lorenz, President, Advisory Solutions, abeo.

 
Factoid
  Untreated OUD [opiod use disorder] costs private plans 550% more per member -- $16,000 per patient per year more, in fact -- and 80% of people who need care do not receive it.

Source: Value Based Payment News, Volume 6 Issue 6, March Second Edition 2021, "Report Points to Value of Tele-Addiction Treatment."
 
 
HealthSprocket List
 
FierceHealthcare: 4 Value-Based Models That CMS Has Pulled for Review, Delayed or Changed

1.
Primary Care First: under review
2. Geographic Direct Contracting: under review
3. Kidney Care Choices: first performance year delayed from January 1, 2021 to January 2022.
4. Part D Payment Modernization Model: kept this model but walked back 2 provisions to give Part D plans the ability to restrict access to certain protected classes of drugs.

Source: FierceHealthcare, March 17, 2021
     
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare The Future of Healthcare Quality

This webinar was a discussion about NCQA’s vision and recommendations on the future of healthcare quality. The panelists were Peggy O’Kane, NCQA President, Michael Barr, MD, NCQA Executive Vice President, Quality Measurement and Research Group, Dan Mendelson, Founder, Avalere Health, Brad Ryan, MD, NCQA Chief Product Officer and Frank Micciche, NCQA Vice President, Public Policy and External Relations.

 
 
  Check out HealthshareTV, the home for health care videos 
 
 
 
Insights
  Early Adopters of VBID Sought to Remove Barriers to High-Value Care
American Journal of Managed Care, March 17, 2021
 
     
  A Roadmap for Value-Based Payment in 2030
Healthcare Innovation, March 13, 2021
 
     
  NCQA Calls for Digital Quality Measures in Value-Based Care Plans
HealthPayer Intelligence, March 11, 2021
 
     
  Less Than 3% of Nursing Homes Received Maximum Rewards Under VBP Model
Skilled Nursing News, March 11, 2021
 
     
  CMS: Many VBP models under review after several already delayed, withdrawn
FierceHealthcare, March 11, 2021
 
     
  CMS reviewing part of Primary Care First payment model
Becker's Hospital Review, March 10, 2021
 
     
  Why Workforce Development for Value-Based Care is a Vital Issue to Address
Medical Economics, March 9, 2021
 
     
  Hospital Risk Stratification Leads To Equitable Value-Based Payments
RevCycle Intelligence, March 4, 2021
 
     
  New Opportunities for VBC with HHS Finalization of Stark Law
The National Law Review, March 3, 2021
 
     
  Lowering anesthesiology costs is a tangible benefit of VBC frameworks
Healthcare Finance, March 2, 2021
 
     
What's News
 
Trends in Use of Low-Value Care in Traditional FFS Medicare & MA
JAMA Network Open, March 17, 2021
 
Cedar Gate Technologies and Privia Launch VBC Program Across Texas
PR Newswire, March 9, 2021
 
Avalere Report Finds CareCentrix Model of Post-Acute Care Lowers Total Cost
PR Newswire, March 9, 2021
 
Humana & the Univ. of Houston Announce New VBC Specialization Program
Humana News Release, March 3, 2021
 
Evidence based processes to prevent readmissions: a 10-site study
BMC Health Services Research, March 1, 2021
 
Triple Aim and the Hospital Readmission Reduction Program
Health Services Research and Managerial Epidemiology, February 17, 2021
 
 
This Month in VBP News
 
 

In this month's first issue:

  • RAND Finds Use of ‘Low-Value’ Care Drops ‘Only Marginally’
  • Industry News: with briefs regarding Aetna and Iora, Mercy and Anthem BlueCross BlueShield, Carrum Health and MSK

In this month's second issue:

  • Report Points to Value of Tele-Addiction Treatment
  • Humana, UH Launch Online 'Value-Based Care Specialization Program'
  • Study Ranks Regs', Transparency's, Competition's Effect on Hospital Pricesd

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

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