VBP Bulletin
  Complimentary from the publishers of VBP News                                March 2022  
     
  Sponsor Message  
Quote
  Third Quarter 2021 Value Based Care Financial Results Podcast
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.

 
 
Quote
  "We've seen far more rapid adoption of value-based models in Medicare Advantage than we have in traditional Medicare, and certainly a lot more than in Medicaid or commercial."
- William Shrank, MD, MSHS, Chief Medical Officer, Humana
 

 
Factoid
  A Research Letter in the March 2022 issue of JAMA Network Open found that “value-based payment was significantly associated with lower acute care use." Among the findings: the adjusted rate of emergency department visits per 1000 patients for 2-sided risk models was 375.8 compared with 434.1 for fee-for-service (FFS). Patients cared for under 2-sided risk models were associated with a 15.6% relative reduction in avoidable hospitalizations compared with FFS, as well as a 4.2% relative reduction for all-cause hospitalizations compared with FFS.

Source: Value Based Payment News, Volume 7 Issue 6, March Second Edition 2022, Research Briefs: "Value-Based Payment and Acute Care Use Among Medicare Advantage Members."

 
 
HealthSprocket List
 
Alyssa Dahl: 3 Top Challenges Providers Face with Alternative Payment Models

1.
Resource constraints
2. Complex and constantly evolving rules and policies
3. Data analysis and modeling

Source: Physicians Practice, March 3, 2022
     
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare 2020 Quality Payment Program: Doctors & Clinicians Performance Information on Medicare Care Compare

The Centers for Medicare & Medicaid Services (CMS) recently published 2020 Quality Payment Program (QPP) performance information on Care Compare: Doctors and Clinicians profile pages and in the Provider Data Catalog (PDC). This presentation provides details about the release.

 
 
  Check out HealthshareTV, the home for health care videos 
 
 
 
Insights
  Stratifying Hospital Readmissions Reduction Program Improved Equity
RevCycle Intelligence, March 21, 2022
 
     
  Value-Based Care Models That Could Lower Maternal Care Costs
HealthPayer Intelligence, March 21, 2022
 
     
  CMMI: Expect more VB care payment models to require health equity plans
FierceHealthcare, March 21, 2022
 
     
  New Stark rule & Anti-Kickback Statute pave the way for VB arrangements
Medical Group Management Association, March 15, 2022
 
     
  Clarify Health acquires Embedded Healthcare to use behavioral economics for VBC
FierceHealthcare, March 15, 2022
 
     
  No Viable Path for Many SNFs to Improve, Avoid Penalties in VB Purchasing
Skilled Nursing News, March 9, 2022
 
     
  Health Systems Facing Strong Headwinds in Shift to Value-Based Care
Healthcare Innovation, March 8, 2022
 
     
  Competing Incentives: How Improving the Transition to Home Can Pay Off
Skilled Nursing News, March 7, 2022
 
     
  Top challenges providers face in alternative payment models
Physicians Practice, March 3, 2022
 
     
  5 lessons from Sentara Healthcare's value-based care journey
Becker's Hospital Review, March 1, 2022
 
     
What's News
 
Analysis of VB Payment and Acute Care Use Among Medicare Advantage
JAMA Network Open, March 17, 2022
 
De-implementing low-value care in cancer care delivery: a systematic review
Implementation Science, March 12, 2022
 
Mercer Innovates the Employer Benefit Design Process to Drive Higher-Value Care
Business Wire, March 2, 2022
 
The implementation of value-based healthcare: a scoping review
BMC Health Services Research, March 1, 2022
 
Strategies to Reduce Low-Value CV Care: A Scientific Statement From the AHA
Circulation: Cardiovascular Quality and Outcomes, March 2022
 
Oregon’s Value-Based Payment Roadmap for Coordinated Care Organizations
The Center for Health Systems Effectiveness at Oregon Health & Science Univ., March 2022
 
Skilled Nursing Facility Performance & Readmission Rates Under VB Purchasing
JAMA Network Open, February 28, 2022
 
 
This Month in VBP News
 
 

In this month's first issue:

  • Unite Us Launches Social Care Payments Solution for Payers and Community Based Organizations
  • Flurry of CMS ACO Activity Including Redesign of GPDC and Rechristening as ACO Reach Model
  • Metro Nashville Public Schools In Third Year With Vanderbilt Health Bundled Care Programs
  • SCAN and Commonwealth Care Alliance Partner to Launch myPlace Health
  • Research Briefs
  • Industry News with briefs regarding Mercer and Clarify Health; Somatus; and Orlando Health Network

In this month's second issue:

  • Penn Medicine Forms Value Based Kidney Care Joint Venture with Evergreen Nephrology
  • How Pre-Payment and Other Reviews Can Dramatically Reduce Healthcare Costs by Mark Johnson
  • Research Briefs: Value-Based Payment and Acute Care Use Among Medicare Advantage Members; Reducing Preventable ER Visits By Utilizing Urgent Care With Mobile Health Diversion
  • Industry News: MaineHealth and agilon health; Clarify Health and Embedded Healthcare; and Optum

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

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