VBP Bulletin
  Complimentary from the publishers of HealthExecWeek                          March 2023  
     
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Insights
Babylon Health rolls out programs for VBC members to help manage conditions
Fierce Healthcare, March 16, 2023
  Clinical Data Usability: A Critical Step in the Shift to Value-Based Care
Healthcare Information and Management Systems Society (HIMSS), March 9, 2023
   
  Why Are Some Value-Based Programs Successful?
JAMA Network Open, March 13, 2023
   
  Even Oncologists Sold on Value-Based Care Hesitate to Embrace the EOM
The American Journal of Managed Care, March 10, 2023
   
  CareFirst BlueCross BlueShield, Aledade unveil value-based care partnership
Fierce Healthcare, March 8, 2023
   
  Humana, Aledade ink 10-year value-based care partnership
Fierce Healthcare, March 2, 2023
   
  Blue Cross MN Partnership Expands Value-Based Care for Rural Members
HealthPayer Intelligence, February 28, 2023
   
  VB Health Care at an Inflection Point: A Global Agenda for the Next Decade
NEJM Catalyst, February 24, 2023
   
  Program promises to take a team approach to tackling severe kidney disease
Fierce Healthcare, February 21, 2023
   
Value-based Medicare Advantage models see better outcomes, finds Optum
Healthcare Finance, February 20, 2023
   
HealthSprocket List
 
Value-based MA Models versus FFS Medicare Models: Comparison of 8 Patient Outcomes

1.
Patients in value-based Medicare Advantage (MA) models had 6% lower odds of acute inpatient admission through the emergency department (ED) than those in Medicare fee-for-service (FFS) models
2. Patients in value-based MA models had 6% lower rates of return to the ED within 30 days
3. Patients in value-based MA models had 14% lower odds of avoidable ED visits
4. Patients in value-based MA models were 18% less likely to be admitted to the hospital
5. Patients in value-based MA models had a 9% lower 30-day hospital readmission rate
6. Patients in value-based MA models were 11% less likely to visit the ED
7. Patients in value-based MA models were 44% less likely to be readmitted for complications linked to chronic obstructive pulmonary disease or asthma exacerbation.
8. Patients in value-based MA models had 10% lower odds of admission for stroke or myocardial infarction

Notes: From an article entitled, 'Comparison of Care Quality Metrics in 2-Sided Risk Medicare Advantage vs Fee-for-Service Medicare Programs," by Kenneth Cohen, MD1; Omid Ameli, MD, DrPH1; Christine E. Chaisson, MPH et. al.

Source: JAMA Network Open, December 12, 2022
     
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Accelerating Delivery System and Payment Reform in the Safety Net

The Duke-Margolis Center for Health Policy hosted a webinar to discuss strategies to improve care in the safety net through value-based payment reform. The event explored key policy and payment opportunities on both the federal and state level to support broader safety net engagement in VBP. The panels discussed key strategies and supports needed for safety net providers to succeed in VBP models and identify federal and state policy levers to drive value-based payment reform in the safety net.

 
 
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What's News
 
Association of Participation in a VB Insurance Design Program With Spending
JAMA Network Open, March 13, 2023
A Road Map For Action On Health Care Spending And Value:  VB Payment
Forbes, March 10, 2023
 
Assoc. of Primary Care Visit Length With Potentially Inappropriate Prescribing
JAMA Health Forum, March 10, 2023
 
Adjustment for Social Risk Factors in a Measure of Clinician Quality Assessing
JAMA Health Forum, March 10, 2023
 
 
HealthExecWeek: Managed Care
 

HealthExecWeek: Managed Care provides a weekly wealth of business intelligence and insights covering the spectrum of subjects filling the arena of managed care. Because doing business in the world of managed care today isn’t siloed, neither is our coverage. You will be able to stay a step ahead in a healthcare business environment where all subject matter lines seem to blue and cross over to the next.

 
       
     
 
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