VBP Bulletin
  Complimentary from the publishers of VBP News                                June 2021  
     
  Sponsor Message  
Quote
  "It's very important for pediatricians to verify the quality and accuracy of the data on the patient panels attributed to them. How cohorts are defined can directly impact compensation under a value-based payment model."
- Greg Barabell M.D., FAAP
 

 
Factoid
  According to the Americans’ Perceptions of Remote Monitoring in Health study by MSI International, 43% of respondents said “greater convenience” is a major benefit of remote patient monitoring; 39% said more efficiency, 37% said more control over personal health, 36% said accuracy and 36% peace of mind.

Source: Value Based Payment News, Volume 6 Issue 10, May Second Edition 2021, "Avalere: CareCentrix Post-Acute Care Model ‘Improves Outcomes, Reduces Readmissions & ED Visits’."
 
 
HealthSprocket List
 
ChenMed: 6 Benefits of a Full-risk, Value-Based Care Model

1.
Helps reduce vaccine hesitancy via a trusting doctor-patient relationship
2. Can help address substance abuse, in part because care teams are incentivized to keep patients out of high-cost care environments
3. Supports caregivers
4. Encourages new kinds of research, incentivizing study areas which are most likely to reduce cost
5. Reduces stigma from mental and behavioral health concerns by addressing them at the primary care level
6. Helps address the social determinants of health.

Notes: Full risk means full financial risk. The provider receives a set, “capitated” amount per patient, and in exchange, assumes full risk for the cost of that patient’s care.6

Source: ChenMed blog, June 8, 2021
     
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Improving Margins Through Value-Based Payment: Are You Leaving Money on the Table?

How do complex healthcare organizations ensure they achieve negotiated quality outcome targets and not leave money on the table? In this discussion with clinical leaders from the Medical University of South Carolina (MUSC), they share their approach to improving performance in quality metrics. Learn more about the healthcare industry's move toward value-based incentives and the tactics MUSC uses to engage teams, drive improvement, and overcome challenges to maximize incentive payments.

 
 
  Check out HealthshareTV, the home for health care videos 
 
 
 
Insights
  Babylon Chief Business Officer on Pushing the U.S. Towards Value-Based Care
HealthLeaders, June 17, 2021
 
     
  Behavioral Health – Provider Considerations for the Evolution to Value-Based Care
The National Law Review, June 11, 2021
 
     
  4 Payers That Have Embraced Value-Based Care Models in 2021
HealthPayer Intelligence, June 10, 2021
 
     
  A National Goal to Advance Health Equity Through Value-Based Payment
JAMA Network, June 4, 2021
 
     
  CMMI director: Expect more mandatory value-based care payment models
FierceHealthcare, June 3, 2021
 
     
  Humana Expands Value-Based Care Model to Cover More Seniors
HealthPayer Intelligence, June 3, 2021
 
     
  The why, what, where, and how of value-based contracts
Bulletin of the American College of Surgeons, June 3, 2021
 
     
  Value-Based Contracting 101: Preparing, Negotiating, and Succeeding
RevCycle Intelligence, June 1, 2021
 
     
  CMS to delay part of controversial Medicaid drug rule
Becker's Hospital Review, May 27, 2021
 
     
  BC NC, Mission Health Sign Agreements for Blue Premier VBC & Healthy Blue
BlueCross BlueShield of North Carolina Press Release, May 24, 2021
 
     
What's News
 
Value-Based Payment: What Does It Mean for Nurses?
Nursing Administration Quarterly, abstract only, July/September 2021
 
Magellan Healthcare and Invo Healthcare Announce VBC Collaboration
Magellan Health News Release, June 23, 2021
 
CenterWell Senior Primary Care Extends its VBC to People with Original Medicare
Humana News Release, June 1, 2021
 
Prioritization for improving the value of care for very low birth weight infants
Journal of Perinatology, June 1, 2021
 
Association of Low-Value Care Exposure With Health Care Experience Ratings
JAMA Network, May 28, 2021
 
Impact of cancer- and patient-level factors on provider risk in the Oncology Care
Journal of Clinical Oncology, abstract only, May 28, 2021
 
 
This Month in VBP News
 
 

In this month's first issue:

  • NAACOS, APG Laud DCEs as Option to Next-Gen ACOs, But Congressmembers Express ‘Alarm’
  • Industry News with briefs regarding: Constitution Physician Alliance; BlueCross BlueShield of North Carolina and Mission Health
  • CMS Picks ‘Value in Opioid Use Disorder Treatment’ Participants

In this month's second issue:

  • Washington DC Watch: Medical Groups Again Press Congress for ‘Rural Glitch’ Relief; US Reps Seek Greater Transparency in CMMI Model Development; CenterWell Senior Primary Care Extends Value-Based Care to Traditional Medicare Members
  • Remote Monitoring Study Sees Favorable View of Technology; Patients Want More in Medical Care
  • VBP Collaboration: BSCA Initiative ‘Reaches $20M in Drug Cost Savings, Continues to Transform Pharmacy Care’; ChristianaCare, Highmark ‘Create New Model of Value-Based Care’
  • Industry News with briefs regarding: Biogen and Cigna

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

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