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Complimentary from the publishers of
VBP News May, 2018 |
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"Employers are seeking new ways to enhance employee health and reduce
costs. By effectively coordinating patient care among the primary care
provider, the surgeon, hospital and health plan, we can improve
postoperative care, reduce readmissions and enhance outcomes and the
patient experience, leading to healthier communities.”
- Mark Carley, Vice President of Managed Care and Payer
Relations at Centura Health.
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“For spine surgeries
[participating in UnitedHealthcare's Spine and Joint Solution program]
...'hospital readmissions were reduced by 10%, and there were 3.4% fewer
complications, as compared to nonparticipating facilities'.”
Excerpted from:
VBP
News, Volume 3 Issue 10, May Second Edition 2018, "UnitedHealthcare Says
Value-Based Care Program for Knee, Hip and Spine Procedures Demonstrates
Improved Health Outcomes, Reduced Costs."
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Succeeding in Value-Based Care Via a Technology-Driven Approach
Success in value-based care requires a thorough under-standing
of how risk-based payment models work. To prosper in this
data-laden era of care, providers need to manage their patient
populations holistically rather than through a collection of
individual episodes, and be able to accurately identify,
document, and report risk scores. Given the stakes, is your
provider organization adequately set up to take on and succeed
in managing risk? In this webinar, learn how technology-enabled
risk capture optimization is helping providers succeed in
risk-based payment models.
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5 Conceptual Templates For
Value-Based Reimbursement
1. PAY-FOR-COORDINATION: pays primary care physicians
(PCPs) a monthly fee to lead and to coordinate a partnership of
health care between providers, care managers, specialists,
Medicare patients and their families.
2. PAY-FOR-PERFORMANCE (P4P): offers a direct and simple
approach to reimbursement, linking payments to quality and
value.
3.
Continue reading here
Source:
The Latest Insight blog/TXCIN, May 2, 2018 |
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-
6 Strategies for Building a Great Medicaid Provider Network by
Marcel Tetzlaff
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UnitedHealthcare Says Value-Based Care Program for Knee, Hip and
Spine Procedures Demonstrates Improved Health Outcomes, Reduced
Costs
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Industry news with briefs regarding: Partnership to Empower
Physician-Led Care; OCHIN; Netsmart; LifeWorks Northwest and Genuine
Health
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Click here to subscribe to VBP News, or find out more
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