Modern Healthcare: (10/19) – Health care executives have agreed that COVID-19 has highlighted the need to adopt new payment and care delivery models. Modern Healthcare interviewed the CEOs of Allina Health and Allina Health-Aetna about efforts to sustain VBC during the pandemic.
Fierce Healthcare: (10/19) – Should Vice President Biden win the presidential election in November, he is expected to push value-based care adoption in his health care agenda. One area of focus will likely be around addressing racial disparities in health care.
Becker’s Hospital Review: (10/19) – Payers Highmark, Humana, and Horizon Blue Cross Blue Shield recently published positive results from their value-based reimbursement programs with providers with each payer seeing savings from their models as well as improvements in quality metrics like hospital readmissions, health screenings, and emergency department use.
AJMC: (10/16) – During a recent AJMC webinar on whole-person health care, speakers highlighted approaches for integrating behavioral mental health into value-based care and the whole-patient model to improve health outcomes.
Physicians Practice: (10/15) – Documentation and accurate coding are critical for primary care physicians transitioning to value-based care, but many small practices or independent practitioners lack the technology, care coordination, time, and other resources to improve these areas.
Healthcare Financial Management Association: (10/14) – According to a speech by CMS Administrator Seema Verma, the agency is looking to add pandemic-era waivers to Medicare value-based payment models to spur provider participation and provide more flexibility to providers.
Deloitte: (10/14) – Data from a recent Deloitte physician survey suggests progress has been slow in developing value-based care capabilities, including physician compensation, tools for decision-making, and care models. This report outlines three initiatives to better equip physicians to transition to value-based care.
Medical Economics: (10/14) – As value-based care continues to be adopted, this article provides an overview of the significant issues with the transition from fee-for-service to value-based care.
Revcycle Intelligence: (10/14) - In its latest Healthcare Resiliency Framework Report, the Health Care Payment Learning & Action Network (LAN) revealed that APMs that use population-based payments are key to building resilience in the health care system following a crisis like COVID-19.
Home Health Care News: (10/13) – CMS Administrator Seema Verma and CMMI Director Brad Smith spoke at the Health Care Payment Learning & Action Network (LAN) summit last week, commenting that only five CMMI value-based care models have generated savings. For models to be successful, Verma said they must incorporate design elements that have an element of downside risk and financially attract provider participation, as well as have effective benchmarks to measure model success.
Geneia: (10/13) – The COVID-19 pandemic has advanced the shift toward value-based care and continues to incentivize physicians to choose capitation and value-based payment models. This article provides views on this shift from leaders within the health care industry.
Lown Institute: (10/13) – This article discusses how attention must be given to historically underserved communities when moving toward value-based models. To prioritize health equity in value-based care, models should be intentional about reducing disparities, add equity metrics to value-based care, and focus on upstream community benefits.
Revcycle Intelligence: (10/13) – Provider industry groups concerned about some of the proposals in the 2021 Medicare Physician Fee Schedule rule called on CMS to reconsider payment changes that would affect providers struggling financially as a result of the pandemic. Specifically, the group recommended CMS eliminate budget neutrality cuts, expand telehealth coverage, and reconsider quality reporting changes.