VBP Bulletin
  Complimentary from the publishers of VBP News                                September 2021  
     
  Sponsor Message  
Quote
  "Like many, we hoped that this year’s survey would show some progress toward value-based practice integration, yet we found many executives still failing to see the shortcomings of the fee-for-service status quo."
- Rita Numerof, PhD, President, Numerof & Associates
 

 
Factoid
  A recent study published in the American Journal of Accountable Care compared the results of 5 Medicare Shared Savings Program ACOs to both ACO benchmarks and regional comparators. Over a 4-year period, the ACOs "prevented an estimated 10,917 hospitalizations, 19,338 emergency department visits and 8,859 skilled nursing facility visits compared to the region."

Source: Value Based Payment News, Volume 6 Issue 18, September Second Edition 2021, "Study Finds VBC Can ‘Meaningfully Reduce Costs, Improve Quality’."

 
 
HealthSprocket List
 
3 Ways Employers Can Use Cost-sharing to Align Members with VB Care Goals

1.
Adjust cost-sharing within the episode of care using deductibles, copays, and other cost-sharing variables to discourage low-value care.
2. Use cost-sharing factors within specific episodes of care, such as shifting stop-loss thresholds or employing a preset episode budget.
3. Use rewards to promote value-based care goals in episode-based benefit plans.

Notes: From an article entitled, "How Employers Can Control Costs with Episode-Based Benefit Plans," by Kelsey Waddill, based on a report from Manatt Health.

Source: HealthPayer Intelligence, September 27, 2021
     
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Value-Based Care and Performance Measures: What Clinicians Should Know

This Grand Rounds Series presents current, unbiased, evidence-based information about a variety of topics important to primary care clinicians. There is a particular focus on issues disproportionately affecting vulnerable patient populations. Participants gain a better understanding of these issues and how they may affect the patients they treat. Based on the information presented, participants will be able to assess their current practices and assess the need to implement changes in order to better help their patients.

 
 
  Check out HealthshareTV, the home for health care videos 
 
 
 
Insights
  Efficiency One Key to Success in Value-Based Care Engagement
Healthcare Innovation, September 19, 2021
 
     
  ASCs, payers ramp up bundled payment initiatives as drive to VBC continues
Becker's ASC Review, September 16, 2021
 
     
  Providers balk at MIPS value program, Medicare rate in physician pay rule
Healthcare Dive, September 15, 2021
 
     
  Promoting Value-Based Healthcare: A Path Forward
State of Reform, September 14, 2021
 
     
  Anthem, Hartford HealthCare team up on value-based care agreement
Becker's Payer Issues, September 14, 2021
 
     
  HHS aims to use value-based care payment models to lower drug prices
FierceHealthcare, September 9, 2021
 
     
  Developing value-based virtual partnerships: What health plans should know
MedCity News, September 9, 2021
 
     
  Paying it Forward: How Payers Can Accelerate the Transition to VB Care
Managed Healthcare Executive, September 8, 2021
 
     
  Risk-Based Revenue Stalls Despite Challenges with Fee-For-Service
RevCycle Intelligence, September 1, 2021
 
     
  Essential Home Healthcare Quality Measures for Value-Based Care
HealthPayer Intelligence, August 31, 2021
 
     
What's News
 
Value-Based Healthcare Initiatives in Practice: A Systematic Review
Journal of Healthcare Management, September-October 2021
 
Evaluation of financial outcomes under a VBP program for community pharmacies
Journal of Managed Care Specialty Pharmacy, September 27, 2021
 
Refining the Recipe for Alternative Payment Models for Surgical Care
JAMA Network Open, September 24, 2021
 
Humana and Kelsey-Seybold Clinic Team up to Expand Access to VB Care
Humana Press Release, September 23, 2021
 
Tackling the frailty burden with an integrative VB approach
Journal of Public Health, September 17, 2021
 
 
This Month in VBP News
 
 

In this month's first issue:

  • CMS Outlines 10-Year Vision for CMMI in Health Affairs Post
  • Insurers, Provider Groups Pair Up on ESRD, ASD, Neurosurgery Treatment
  • Industry News with briefs regarding: Tabula Rasa HealthCare Inc., Medica and SSM Health, and BlueCross BlueShield of North Carolina

In this month's second issue:

  • Study Finds VBC Can 'Meaningfully Reduce Costs, Improve Quality'
    Industry News with briefs regarding: Blue Cross of North Carolina and UNC Health, and CareFirst

Click here to view a brief (under 2 minutes) video with more information

Subscribe Now

 
     
  Follow Health Policy Publishing:   Value-Based Payment News LinkedIn Group    mcol on twitter  
     
About the Bullletin
 
Subscribe to the Bulletin | Promotional Opportunities
VBP Bulletin, a publication of Health Policy Publishing LLC
© 2021, Health Policy Publishing LLC