- Matt Eyles, CEO and President, America’s Health Insurance Plans
Source: Value Based Payment News, Volume 5 Issue 24, December Second Edition 2020, "PwC: Provider Entities Operating Plans, VBP Programs ‘Better Positioned for 2021’."
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Institute for Medicaid Innovation: Most Common
Operational Barriers in VBP/APMs, as Reported by Medicaid MCOs
in 2019 1. Data reporting to providers: 86% of Medicaid MCOs 2. IT system preparedness: 71% of Medicaid MCOs 3. Support to providers to make determinations on VBP/APM: 71% of Medicaid MCOs 4. Tracking quality and reporting within new structure: 71% of Medicaid MCOs 5. Contract requirements on VBP/APM approaches: 50% of Medicaid MCOs 6. Pricing VBP/APM: 43% of Medicaid MCOs 7. Other (e.g., development of an online, secure document exchange portal, delivery model readiness): 14% of Medicaid MCOs 8. None: 7% of Medicaid MCOs. Notes: MCOs are Managed Care Organizations; VBP is value-based payment; APMs are alternative payment arrangements. Source: "Medicaid Access & Coverage in 2019," Institute for Medicaid Innovation, December 2020 |
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2020 Symposium The Future of Health Care
Caravan Health held its 5th annual Accountable Care Symposium on
December 7-10. The Future of Health Care session was led by
Patty Ballman, Program Director at Caravan Health and Dr. Von
Nguyen, SVP/CMO at Blue Cross and Blue Shield of North Carolina.
Hear about how BCBC is opening new doors in the Tarheel State to
innovate care in the ACO. |
Check out
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National Association of ACOs, December 21, 2020
JAMA Network, December 18, 2020
Becker's Hospital Review, December 18, 2020
FierceHealthcare, December 16, 2020
Roji Health Intelligence, December 10, 2020
Healthcare Finance, December 3, 2020
The Milbank Quarterly, November 30, 2020
PatientEngagement HIT, November 30, 2020
Becker's Hospital Review, November 24, 2020
FierceHealthcare, November 19, 2020
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Establishing Minimum Standards in Medicaid State
Drug Utilization Review Centers for Medicare & Medicaid Services, December 21, 2020 |
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Radiology in the Era of VB Healthcare: A Multi
Society Expert Statement Journal of the American College of Radiology, December 21, 2020 |
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Humana Announces New Primary Care Value-Based Model Business Wire, December 10, 2020 |
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Equality Health Expands Value-based Care Model into Texas PR Newswire, November 23, 2020 |
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CMS selects primary care payment model participants Becker's Hospital Review, November 23, 2020 |
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HHS Makes Stark Law & Anti-Kickback Statute Reforms to
Support VBC U.S. Department of Health and Human Services News Release, November 20, 2020 |
In this month's first issue:
- Washington DC Watch: AHIP Blames 'Big Pharma' for 'Out of Control Drug Prices'; 160+ Signatories Ask Congress to 'Save Value-Based Payment Incentives'
- Social Determinants of Health: Change Healthcare Launches SDOH Analytics 'To Help Improve Patient Outcomes'; AHIP Report Details Individual Plans' SDOH Telehealth Strategies
- Industry News with briefs regarding: Providence Southern California Joins Anthem's Vivity as JV Partner; Community Care Physician Network Now Part of Blue Cross NC's Premier Value-Based Care Program; St. Luke's Health Partners, Humana in ID Value-Based Agreement)’
In this month's second issue:
- Washington DC Watch: Politicians Claim Bill 'Protects Patients;' AHIP Isn't Buying It
- PwC: Provider Entities Operating Plans, VBP Programs 'Better Positioned for 2021'
- Industry News with briefs regarding: Aledade, Regences Collaborate to 'Enhance Rural Primary Care'; Humana Unveils 'New Primary Care Value-Based Model'; Cincinnati Children's partners with CareSource to create a coordinated care model
Click here to view a brief (under 2 minutes) video with more
information
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