VBP Bulletin
  Complimentary from the publishers of VBP News                                April 2021  
     
  Sponsor Message  
Quote
  "We need to consider what telehealth will look like beyond the pandemic. We will need to continue to assess and modify telehealth strategies to maximize value during this digital age, particularly given the challenges of the digital divide across social and geographic lines."
- Jonathan Weiner DrPH, Co-Director at the Center for Population Health Information Technology and professor in the Department of Health Policy and Management, Johns Hopkins University’s Bloomberg School of Public Health.

 
Factoid
  Using broad measures, these low-value services tallied the highest volume [for Medicare] in 2018:
• imaging for patients with nonspecific low-back pain (12.6 per 100 beneficiaries)
• prostate-specific antigen screening for men 75 and older (8.7)
• colon cancer screening for adults over 85 (6.9).

Source: Value Based Payment News, Volume 6 Issue 8, April Second Edition 2021, "MedPAC Report Notes ‘Substantial Use of Low-Value Care in Traditional Medicare’."
 
 
HealthSprocket List
 
Pew Charitable Trust: 5 Key Findings Regarding Antibiotic Use in Hospitals

1.
Inappropriate prescriptions in terms of the specific antibiotic prescribed, the duration of treatment, or the illnesses for which they were given: 56%
2. Inappropriate inpatient antibiotic use for community-acquired pneumonia: 79% (almost 60% of this is due to exceeding the recommended 7 days of treatment)
3. Inappropriate inpatient antibiotic use for urinary tract infections: 77% (mostly patients who lacked symptoms or microbiology test results consistent with UTIs)
4. Inappropriate inpatient Fluoroquinolone use in hospitals: 47%
5. Inappropriate inpatient Vancomycin use in hospitals: 27%.

Notes: From a report entitled, "Health Experts Establish Targets to Improve Hospital Antibiotic Prescribing," an assessment of national data collected by the CDC’s Emerging Infections Program (EIP) surveillance network of 10 state health departments and their academic and other partners. The panel also recommended national targets to reduce inappropriate use.

Source: Pew Charitable Trust, March 18, 2021
     
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Accelerating VBC Success: Are You Prepared for the Risks and Opportunities of Value-Based Care?

View a panel discussion with healthcare experts on the latest value-based care (VBC) program news and the emerging market dynamics that are driving increased provider participation. The discussion provides knowledge on what it takes to be successful in VBC models that are changing the way care is delivered and paid for. It also covers the strategies providers can utilize to manage and protect their downside risk and optimize the upside benefits in VBC programs.

 
 
  Check out HealthshareTV, the home for health care videos 
 
 
 
Insights
  Highmark, ChristianaCare launch value-based care, digital health joint venture
FierceHealthcare, April 21, 2021
 
     
  Addressing Social Risk Factors In VBP: Adjusting Payment Not Performance
Health Affairs Blog, April 19, 2021
 
     
  Aetna, Fresenius partner on VB kidney care for Medicare Advantage members
FierceHealthcare, April 12, 2021
 
     
  Applying Upstream Problem-Solving to VBP Reform in Specialty Care
The American Journal of Accountable Care, April 6, 2021
 
     
  41 Oregon providers, insurers sign value-based care pledge
Becker's Hospital Review, April 5, 2021
 
     
  What's Taking Place in the Private Sector of VBP? Francois de Brantes Explains
Managed Healthcare Executive, April 4, 2021
 
     
  Intermountain and its analytics subsidiary help manage value-based care
Healthcare IT News, April 2, 2021
 
     
  Hospices Ramp Up Advance Care Planning Through VBP Models
Hospice News, April 1, 2021
 
     
  The COVID Reset: Reimagining health care delivery and reimbursement
Medical Economics, March 30, 2021
 
     
  How One Hospital Has Succeeded in a World of Bundled Payments
Harvard Business Review, March 30, 2021
 
     
What's News
 
Allina, HealthPartners ink new value-based care agreement
Minneapolis/St. Paul Business Journal, April 12, 2021
 
Physician Practice Leaders’ Perceptions of Medicare’s MIPS
Journal of General Internal Medicine, April 9, 2021
 
Association of EHR Vendors With Hospital Financial and Quality Performances
Journal of Medical Internet Research, abstract only, April 2021
 
Evaluation of Reliability and Correlations of Quality Measures in Cancer Care
JAMA Network Open, March 22, 2021
 
 
This Month in VBP News
 
 

In this month's first issue:

  • Hopkins Bloomberg, BHI Research: ‘Telehealth Visits 24% of Outpatient Consults Early in Pandemic’
  • Humana Redesigns Hospice Services Model Under CMS Demonstration
  • Industry News with briefs regarding UPMC for You and Pennsylvania Pharmacists Care Network, and Humana

In this month's second issue:

  • MedPAC Report Notes ‘Substantial Use of Low-Value Care in Traditional Medicare’
  • Research Finds ‘No Significant Differences’ in Cardiac Health Under Coordinated Model

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

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