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Complimentary from the publishers of
VBP News July
2019 |
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"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.
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"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."
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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.
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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" |
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-
SHU’s Hackensack Meridian School of Medicine Welcomes Second Class
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‘Low-Value’ Services Still Consuming Resources
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Industry with briefs regarding Healthfirst; Spindletop Capital and
Tricity Pain; Bridges Health Partners and Aetna; Remedy .
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Click
here to subscribe to VBP News
-
Click here to view a brief (under 2 minutes) video with more
information
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