VBP Bulletin
  Complimentary from the publishers of VBP News                                  September 2019  
     
Featured Story 
  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
 
 
Quote
  "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.

 
Factoid
  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.
 
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare 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.

 
 
  Check out HealthshareTV, the home for health care videos     
 
HealthSprocket List
 
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
     
 
This Month in VBP News
 
  • NY Medicaid ‘Tackles Child-Centered Value-Based Payments to Improve Quality, Promote Long-Term Health’
  • Industry News: BlueCross BlueShield of Minnesota; MCS.
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