VBP Bulletin
  Complimentary from the publishers of VBP News                                   May, 2018  
       
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Quote
  "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.

 
Factoid
  “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."
 
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare 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.

 
 
  Check out HealthshareTV, the home for health care videos     
 
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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
     
 
This Month in VBP News
 
  • 6 Strategies for Building a Great Medicaid Provider Network by Marcel Tetzlaff
  • UnitedHealthcare Says Value-Based Care Program for Knee, Hip and Spine Procedures Demonstrates Improved Health Outcomes, Reduced Costs
  • Industry news with briefs regarding: Partnership to Empower Physician-Led Care; OCHIN; Netsmart; LifeWorks Northwest and Genuine Health
  • Click here to subscribe to VBP News, or find out more

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