Complimentary from the publisher

Complimentary from the publishers of VBP News July 2021

"When we look at the pandemic and how hospitals performed financially, it's those hospitals that had already started to take on value-based payments that did pretty well during COVID-19, particularly the first six months of last year. And those hospitals that were working on fee-for-service or largely based on volume – the old-fashioned way – did really poorly."
- Jane Sarasohn-Kahn, Health Economist and founder of THINK-Health.

According to an Axios report containing new research by Johns Hopkins University, 57 of the 100 largest hospitals in the US charged more than 5 times the actual cost [of care], on average. Nine hospitals charged more than 10 times the cost. The hospital with the highest average markup was HCA’s Chippenham Hospital in Richmond VA; its charges were nearly 13 times its cost.

Source: Value Based Payment News, Volume 6 Issue 13, July First Edition 2021, "Axios Report: ‘Most Top Hospitals Charge >5x Markup."

	JAANP: Nurse Practitioner–Owned Practices and VBP Arrangements: 4 Findings 1. A third participate in value-based payment arrangements. 2. Half are considering participating in value-based payment arrangements. 3. Three-quarters are knowledgeable about value-based payment arrangements. 4. Over 70% report barriers to VBP participation including lack of knowledge, lack of financial protections, and lack of payer partnership. Notes: From an article entitled, "Nurse practitioner–owned practices and value-based payment," by O'Reilly-Jacob, Monica RN, PhD, FNP-BC; Perloff, Jennifer PhD; Berkowitz, Sandy RN, JD; Bock, Lorraine DNP, FAANP. Of the 47 Nurse Practitioner-owner survey respondents, 40 practice in primary or specialty care. Source: Journal of the American Association of Nurse Practitioners, July 2, 2021

How cutting off subsidy payments to insurance companies would affect Obamacare

Value-Based Compensation: New Rules of the Road for Provider Compensation

How will the new rules concerning the Stark law and Anti-Kickback Statute change the landscape of provider compensation? ECG's Provider Financial Services leader, Josh Halverson, and special guest Joe Wolfe, Hall Render, look at how the new rules make it possible for health systems to become agents of change in their markets. Joe discusses the implications of the new value-based regulations, and Josh shares success factors for value-based compensation plans.

Check out HealthshareTV, the home for health care videos

Using advanced analytics to look at the ‘whole person’ for better VB care delivery
MedCity News, July 13, 2021

Prescriptions for What Ails Value-Based Care
Managed Healthcare Executive, July 7, 2021

Value-based care gains traction during COVID-19
Healthcare IT News, July 6, 2021

Direct Contracting Opens a New Door for SNFs in Value-Based Care
Skilled Nursing News, July 5, 2021

Contributor: MACRA Has Not Lived Up to Its Promise
The American Journal of Managed Care, July 5, 2021

How Physicians, Purchasers Are Aligning Interests to Accelerate VB Care Delivery
The American Journal of Managed Care, July 4, 2021

CMS unveils new ESRD payment model in health equity push
Healthcare Dive, July 2, 2021

How The Healthcare Industry Can Drive Change Through Value-Based Care
Forbes, July 1, 2021

CMS expanding home health VB purchasing model nationwide in January 2022
FierceHealthcare, June 28, 2021

ACLC and Innovaccer to Jointly Launch Industry’s Largest VB Care Collaborative
Healthcare Dive, July 8, 2021

Nurse practitioner–owned practices and value-based payment
Journal of the American Association of Nurse Practitioners, abstract only, July 2, 2021

Former CMMI chief Smith launching VB care company targeting rural providers
FierceHealthcare, June 29, 2021

Detecting bad actors in value-based payment models
Services and Outcomes Research Methodology, June 28, 2021

In this month's first issue:

CMS Proposes Expanding HHVBP Model Nationwide in 2022 PPS Rate Update
Axios Report: Most Top Hospitals Charge >5x Markup
Industry News with briefs regarding: Cigna, BlueCross BlueShield of North Carolina, Magellan Healthcare Inc., and Invo Healthcare

In this month's second issue:

MedPAC Finds ‘Fundamental Design Flaws’ in SNF VBP Program
Most surprise medical bills to end under new rule
Industry News with briefs regarding: BlueCross BlueShield of Oklahoma and Mercy

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