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Complimentary from the publishers of
VBP News
September
2019 |
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Value-based Payments: The What and
Why in 2019
by Wren Keber and Matthew Warfield,
Cardinal Consulting Group
It’s no secret that “value-based payment” has become a favorite industry
buzzword. VBP models aim to address rising costs and underwhelming quality
characteristic of our U.S. healthcare system. In the first of an
eight-part series, we’ll break down this buzzword to define value-based
payment in 2019 terms, and reaffirm the importance of emphasizing value
in healthcare payment across the continuum of care.
Read the post. |
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"Value-based payment approaches for children’s healthcare are urgently
needed to overcome fragmented approaches and encourage providers to
focus on children’s long-term health.”
- Suzanne C. Brundage, Director of Children’s Health Initiative,
United Hospital Fund.
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A California health
initiative involving 9,800 physicians in three transformation networks
serving 5.9 million patients over four years avoided 67,000 emergency
department visits, avoided 57,000 hospital admissions, and improved
outcomes for 750,000 patients. The initiave saved $6 for every $1
invested, totalling $345 million in cost avoidance. The initiave was
funded by $52 million in grants from the Centers for Medicare and
Medicaid Services (CMS) under its Transforming Clinic Practice
Initiative.
Source:
PR Newswire, August 21, 2019.
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Accelerating Value-Based Payment in Federally Qualified Health
Centers: Options for Medicaid Plans
Presents findings from the April 2019 report, "Accelerating
Value-Based Payment in California's Federally Qualified Health
Centers: Options for Medicaid Health Plans." Discusses
implementing a Health Plan/FQHC partnership via the Rocky
Mountain Model. Also discusses advancing VBP arrangements with
FQHCs in California via the Inland Empire Health Plan. A
moderated discussion with the speakers wraps up the webinar.
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Rhonda Medows, MD: 6 considerations before signing a
value-based payment contract
1. Understand the population.
2. Assess size of patient population.
3. Understand the provider network.
4. Limit the maximum claim denial rate.
5. Understand the differences between payers and the hospital's
payer mix.
6. Assess the hospital's current patient care, services and
interventions.
Source:
Becker's Hospital Review, August 23, 2019 |
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NY Medicaid ‘Tackles Child-Centered Value-Based Payments to Improve
Quality, Promote Long-Term Health’
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Industry News: BlueCross BlueShield of Minnesota; MCS.
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here to subscribe to VBP News
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Click here to view a brief (under 2 minutes) video with more
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