Complimentary from the publisher

Complimentary from the publishers of VBP News October 2020

"The bottom line is CMMI [Center for Medicare & Medicaid Innovation] models are losing money, generating large losses and a weak return on investment for taxpayers. The center stands in need of a course correction in model design and portfolio selection if value-based care is to advance."
-Seema Verma, Administrator, Centers for Medicare and Medicaid Services (CMS).

A recent issue of the Journal of Managed Care & Specialty Pharmacy includes a report on a retrospective observational study that included elderly patients with diabetes. Researchers found that 81% of 9,497 patients were adherent to their medications, and 21% were hospitalized. The covariate-adjusted length of stay for patients who were non-adherent to their medications was 24% longer than that of adherent patients for all-cause hospitalization and 12.7% longer for diabetes-related hospitalization.

Source: Value Based Payment News, Volume 5 Issue 20, October Second Edition 2020, Journal Scan: "Association of Medication Adherence with Hospital Utilization and Costs Among Elderly with Diabetes Enrolled in a State Pharmaceutical Assistance Program.’

How cutting off subsidy payments to insurance companies would affect Obamacare

Roundtable: Creating certainty amidst uncertainty in value-based care

The COVID-19 pandemic has brought about unprecedented uncertainty and rapid transformation for hospitals, ACOs and providers participating in value-based care arrangements. Hospital, ACO, behavioral health and primary care leaders present key strategies in delivering value-based care in the evolving pandemic situation in a panel discussion and Q&A.

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	Deloitte: 7 Takeaways from 2020 Survey of US Physicians 1. 97% of all physicians relied on fee-for-service and/or salary for their compensation in 2020 2. 36% also received value-based payments 3. 23% of physicians received performance bonuses of more than 5% 4. 51% of physicians are aware of the costs of the treatments they select 5. 48% of physicians are comfortable discussing costs with patients 6. 46% of physicians say they follow clinical pathways adopted at their organization 7. 76% of physicians say they have a prominent role in limiting the use of unnecessary treatments and tests. Source: Deloitte Insights, October 14, 2020

VBP Collaboration: Regence, St. Luke’s Health Partners Offer ‘New Value-Focused Network Option’; ValueHealth, University Hospitals Form JV to ‘Create Centers of Excellence for Value-Based Surgical Care’
Journal Scan: ‘Examining Misaligned Incentives for Payers and Manufacturers in Value-Based Pharmaceutical Contracts’; ‘Medication Adherence Trajectories: A Systematic Literature Review’; ‘Association of Medication Adherence with Hospital Utilization and Costs Among Elderly with Diabetes Enrolled in a State Pharmaceutical Assistance Program’
Highmark: ‘True Performance Initiative Helps Avoid $1B+ in 3 Years’
Industry News with a brief regarding The Core Quality Measures Collaborative.
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