Complimentary from the publisher

Complimentary from the publishers of VBP News April 2020

"We know that when we do these transition of care visits properly, we reduce the readmissions, which is high dollars of waste. It really does fit well into a value-based agreement model."
-William K. Johnjulio, MD, chair of Allegheny Health Network Primary Care Institute; medical director of Physician Partners of Western Pennsylvania.

A recent survey from the National Association of ACOs found almost 80% of ACOs are very concerned about the effect of COVID-19 on their 2020 performance. 90% of responding ACOs say the pandemic will have a “significant or very significant effect” on ACOs’ ability to earn shared savings. The results “paint a potentially grim picture for ACOs and the move to value,” the report says.
Source: Value Based Payment News, Volume 5 Issue 8, April First Edition 2020, COVID-19 Update:"ACOs See COVID-19 Potential to Sink Shift to Value."

How cutting off subsidy payments to insurance companies would affect Obamacare

Value-Based Insurance Design: Enhancing Access to Essential Clinical Services During COVID & Beyond

A Grand Rounds presentation from the University of Michigan Department of Internal Medicine, given by Mark Fendrick, M.D., director of the Center for Value-Based Insurance Design.

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	Jasmine DeSilva: 6 ways private health plans could mitigate provider revenue loss in the wake of Covid-19 1. Amend value-based care contracts mid-term using a unilateral amendment clause, if the contract permits. 2. Disregard performance data from the crisis period. 3. Pause downside risk for 2020 and likely 2021. 4. Cap or reduce shared losses through risk corridors. 5. Use a previous year’s performance data to calculate 2020 payment. 6. Make no changes, but hold on reconciliation at the end of the performance period. Note: Author acknowledged input from Jackie Selby from Epstein Becker & Green, P.C. and Faegre Drinker Biddle & Reath law firms. Source: Advisory Board, April 14, 2020

COVID-19 Update: ACOs See COVID-19 Potential to Sink Shift to Value
Journal Scan: ‘Assessing the Effect of a Telepharmacist’s Recommendations During an Integrated, Interprofessional Telehealth Appointment and Their Alignment with Quality Measures’
Industry News with briefs regarding BCBS of North Carolina and FirstHealth of the Carolinas; BCBS of Nebraska and SpectraMedix.
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