VBP Bulletin
  Complimentary from the publishers of VBP News                                  October 2019  
     
Featured Story 
  Designing Success in Value-based Payments: Looking Beyond Post-Acute Care
by Graham Brown, Cardinal Consulting Group
Hospitals and health systems engaged in value-based payment arrangements are often working to manage quality and cost for an episode of care or a bundled payment. Because it is widely known that post-acute care settings (PAC) contribute significantly to total cost of care, many providers have focused improvement efforts there. However, it is important to look beyond PAC to understand the complete patient journey and design the best pathways to deliver success. Read how to build a program that does just that.
 
 
Quote
  "Members continue to note obstacles that hinder industry progress in transitioning to value. While many have achieved the 75% goal already, many willing organizations are finding it difficult to reach that threshold for various reasons."

- Jeff Micklos, Executive Director, Health Care Transformation Task Force.

 
Factoid
  A recent study published in JAMA Network found that the estimated total annual costs of waste in the U.S. healthcare system were $760 billion to $935 billion, and potential savings from interventions that address waste were $191 billion to $282 billion.

Source: JAMA Network, October 7, 2019.
 
 
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Mastering New Payment Models In The Age Of Value-Based Care

Value-based reimbursements in healthcare have the opportunity to provide big value for providers and payers. Although the new payment models are uncharted territories, the goal is simple: how can healthcare organizations change their operations to encourage value over volume? The webinar reflects how healthcare organizations need to adopt some innovative means to monitor their performance and leverage these insights to improve their patients’ outcomes.

 
 
  Check out HealthshareTV, the home for health care videos     
 
HealthSprocket List
 
Definitive Healthcare: 5 Biggest barriers when moving to a value-based system

1. Lack of resources: 25.3%.
2. Gaps in interoperability, internally and externally: 19.7%.
3. Unpredictability of revenue stream and complexity of financial risk: 17%.
4. Changing regulations/policies: 16.2%.
5. Trouble with collecting and reporting patient information: 14.8%.

Note: results from a survey of 1,090 healthcare leaders

Source: Definitive Healthcare, September 30, 2019
     
 
This Month in VBP News
 
  • Health Care Transformation Task Force Notes ‘Increase in Value-Based Arrangements
  • Industry News: BlueCross BlueShield of Texas; Sanitas; Evolent Health
  • Washington DC Watch: MedPAC Teases Value-Based Post-Acute Care Measures; AMGA Offers Ways for Physicians to Shift Accountability to Care Teams.
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