VBP Bulletin
  Complimentary from the publishers of VBP News                                   July 2019  
       
  Sponsor Message  
Quote
  "We expect to offer a bundled payment option for outpatient total joint replacement procedures, one of the first in the Houston market. We plan to partner with payers, employers and teams of physicians to provide value-based care, which, within specialty care, especially orthopedic surgery and interventional spine procedures, favors payments based on episodes of outpatient treatment and drive high quality of care at reduced costs.”
- Urfan Dar, CEO, Tricity Pain Associates PA.

 
Factoid
  "Extrapolating the estimates from our dataset of utilization of low-value and high-value care results to the entire US commercially insured population, and then adjusting for changes in prices, total private health spending averaged 6.6% growth per year over the study period. High-value care spending averaged slightly less, at 5.6% growth, and low-value care annual spending growth actually declined slightly, by 1.7%."

Excerpted from: Value Based Payment News, Volume 4 Issue 14, July Second Edition 2019, "‘Low-Value’ Services Still Consuming Resources."
 
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Alignment & Parity Among MSSP & MA Payment Models

What is covered in this webinar:
- Current state of value-based payment models
- Similarities and differences across Medicare Advantage and Medicare patient populations, attribution methods, payment mechanisms, quality metrics, post-acute care pathways, and other concepts for contract negotiation
- Required resources and infrastructure for maintenance and management.
 

 
 
  Check out HealthshareTV, the home for health care videos     
 
HealthSprocket List
 
David Axene: 6 Key Requirements for Successful Transition from FFS to Value-Based Reimbursement

1. Ability to improve CME (care management effectiveness) Index for operations.
2. Appropriate budget expectations for providers.
3. Responsiveness to provider input.
4. Support for different sources of margin for the health plan.
5. Provider accessibility.
6. Mutual trust with providers and customers.

Source: Axene Health Partners, "Implementing Value-Based Reimbursement – Pathway to Success"
     
 
This Month in VBP News
 
  • SHU’s Hackensack Meridian School of Medicine Welcomes Second Class
  • ‘Low-Value’ Services Still Consuming Resources
  • Industry with briefs regarding Healthfirst; Spindletop Capital and Tricity Pain; Bridges Health Partners and Aetna; Remedy .
  • Click here to subscribe to VBP News
  • Click here to view a brief (under 2 minutes) video with more information

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