VBP Bulletin
  Complimentary from the publishers of VBP News                                       June 2020  
     
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Factoid
  The Hawai'i Medical Service Association (HMSA) Payment Transformation was implemented to move provider payments away from a fee-for-service model and instead provide a capitated payment for each HMSA member attributed to each practitioner. However, almost 55% of surveyed primary care physicians in internal medicine reported that Payment Transformation has caused them to refrain from providing services or treatment; over 36% of surveyed Hawai'i primary care physicians said that they have referred patients to an urgent care clinic instead of treating them, due to Payment Transformation; and almost 80% said that Payment Transformation has caused an increase in administrative tasks.

Source: "Trouble in Paradise: Assessing the Outcomes of Payment Transformation in Hawai'i," Aimed Alliance, May 2020.
 
 
Insights
  New CMS Payment Model Flexibilities For COVID-19
Health Affairs Blog, June 3, 2020
 
     
  COVID-19: Considerations regarding VB care and risk-based contracting
Willis Towers Watson, May 28, 2020
 
     
  Are Value-Based Agreements the Solution to High Drug Prices?
Journal of Clinical Pathways Blog, May 26, 2020
 
     
  Value-Based Care Takes On Dentistry
Managed Healthcare Executive, May 19, 2020
 
     
  Providers in APMs Had Head Start with Managing COVID-19 Surge
RevCycle Intelligence, May 18, 2020
 
     
  COVID-19 Will Impact Provider Performance Reporting and Value-Based Care
Avalere, May 15, 2020
 
     
Value-based Care, Changing Payment Models During and Post COVID-19
Pharmacy Times, May 14, 2020
     
  Is COVID-19 the impetus for a better U.S. health care system?
Medical Economics, May 12, 2020
 
     
  Does MIPS Disproportionately Affect Safety-Net Practices?
JAMA Health Forum, May 11, 2020
 
     
  CMS promotes value-based insurance design in final payment notice for 2021
Healthcare Finance, May 8, 2020
 
     
  Trouble in Paradise: Outcomes of Payment Transformation in Hawai'i
Aimed Alliance, May 2020
 
     
What's News
 
CMS offers flexibility for value-based care models affected by COVID-19
FierceHealthcare, June 3, 2020
 
Paying For Value From Costly Technologies: A Framework For VBP Reforms
Health Affairs, abstract only, June 2020
 
A VB incentivization model of adult immunization for community pharmacists
Journal of the American Pharmacists Association, May 12, 2020
 
Advancing Value-Based Models for Heart Failure
Circulation: Cardiovascular Quality and Outcomes, May 12, 2020
 
Regence VB Care Provider Arrangements Improve Member Health, Lower Costs
Regence News Release, May 12, 2020
 
Aetna and PA Clinical Network agree to VB contract to provide high-quality care
PR Newswire, May 8, 2020
 
 
This Month in VBP News
 
 
  • News @ Deadline: AAP, AMA, ACP Reaffirm Stance:‘Racism is Public Health Issue;’ NAACOS, Supporters Score Key Wins in Latest CMS ‘Adjustments’
  • Pioneer: ‘Robust Transparency Laws Clearly Not Widespread in US’
  • Industry News with briefs regarding: Aetna and PA Clinical Network; Memorial Healthcare System; Information Builders and The Health Collaborative.
  • Click here to view a brief (under 2 minutes) video with more information

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