VBP Bulletin
  Complimentary from the publishers of VBP News                                October 2021  
     
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Quote
  "More and more Americans are getting care from health systems as opposed to standalone practices. Given actionable data, these systems have enormous potential to influence decision-making on low-value care."
- Ishani Ganguli, MD, MPH Clinical Investigator, Brigham and Women’s Division of General Internal Medicine and Primary Care; Assistant Professor, Harvard Medical School
 

 
Factoid
  A national study commissioned by EmblemHealth found that, of those consumers familiar with the term, 58% of respondents recalled hearing "Value-Based Care" from a health insurance plan, followed by 40% from a doctor and 27% from a media/news outlet.

Source: Value Based Payment News, Volume 6 Issue 19, October First Edition 2021, "EmblemHealth Study: Consumers Unclear on What Value-Based Care is All About."

 
 
HealthSprocket List
 
Lumeris: 5 Survey Take-aways About Value-Based Care

1.
70% of survey respondents have less than 25% of their revenue tied to value-based care contracts.
2. 70% of survey respondents who are participating in some form of value-based care arrangements have signed population-based shared savings contracts.
3. 60% of survey respondents who are participating in some form of value-based care arrangements have signed shared/loss contracts.
4. 60% of networks have introduced provider incentives that align with value-based performance goals.
5. 52% of networks have created special onboarding and training programs to ensure their providers understand what is expected.

Notes: From a report entitled, "Research Reveals Network Performance Putting Health Systems and ACOs at Risk in Value-Based Care." Lumeris commissioned Porter Research to conduct a quantitative survey of approximately 50 clinical and business executives from health systems and ACOs, as well as qualitative phone interviews.

Source: Lumeris, 2021
     
 
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Insights
  CMMI rolls out strategic refresh to make payment models more equitable
FierceHealthcare, October 20, 2021
 
     
  Value-Based Care Model Helps Secure Telehealth as a Constant
mHealth Intelligence, October 20, 2021
 
     
  Advanced Analytics: an Essential Tool for Value-Based Care Success
Managed Healthcare Executive, October 17, 2021
 
     
  Defining Patient Engagement for Value-Based Care
Patient Engagement HIT, October 14, 2021
 
     
  Physician groups warn nearly 10% in Medicare cuts could stall shift to VB care
FierceHealthcare, October 13, 2021
 
     
  PopHealthCare launches new national medical group, Emcara Health
FierceHealthcare, October 11, 2021
 
     
  Value-Based Payment Models May Help Hospitals Prepare for Surges
RevCycle Intelligence, October 7, 2021
 
     
  CMS makes MIPS updates following physician concerns
Radiology Business, September 30, 2021
 
     
  Large Medicare study explores predictors of low-value imaging among hospital
Radiology Business, September 28, 2021
 
     
  Focus on Quality Competencies Key for Hospices in Value-Based Models
Hospice News, September 27, 2021
 
     
What's News
 
EmblemHealth Study Finds Industry Needs to Educate Consumers on VB Care
PR Newswire, October 12, 2021
 
Changes in Patient Experiences & Gaming Among Practices in Precursors of MIPS
JAMA Health Forum, October 8, 2021
 
Consumerism & transition to value are among trends drawing strategic reactions
Healthcare Financial Management Association, October 7, 2021
 
State Health Plan First to Be Recognized for Innovative Payment Model
Business Wire, October 7, 2021
 
First Year of Skilled Nursing Facility VB Purchasing Program Penalizes Facilities
Medical Care, abstract only, September 30, 2021
 
 
This Month in VBP News
 
 

In this month's first issue:

  • EmblemHealth Study: Consumers Unclear on What Value-Based Care is All About
  • MA 2022 VBID Participants Announced
  • Empire BlueCross BlueShield and Mount Sinai Health System Enter New Value-Based Contract
  • Industry News with briefs regarding Signify Health and HealthComp; Vim, Anthem Blue Cross and Providence St. Joseph Health; and Acclivity Health and Value Health Partners

In this month's second issue:

  • ACLC Enthusiastic Re: MSSP, ACOs in General
  • Multiple Ways to Examine ACO Performance
  • Most Promising Indicators for Success Moving Forward
  • ACO Providers' 'Many Concerns'
  • Accountable Care Coalition of Southeast Partners Generates $3.7 Million in Total Savings for Medicare
  • Arcadia's MSSP ACO Customers Generated $386 Million in Shared Savings in 2020
  • Percent of ACOs that Generate and Earn Savings Over Time

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

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