News Clips
Modern Healthcare: (4/6) - The transition to value-based care has moved slowly, which experts say can impact the financial returns providers can draw from population health management depending on how much of their revenue is tied to risk. This article outlines the struggle providers often face balancing their dependence on fee for service with the transition to accepting value-based payments and how the level of financial return providers see from population health efforts exists on a continuum.
AJMC: (4/6) - This article discusses how to apply an upstream problem-solving approach specific to value-based payment reform and challenges to address suboptimal quality and rising health care costs. Upstream efforts to date have largely focused on addressing social determinants of health, however value-based payment transformation is a key consideration to shift from a downstream approach to addressing health care issues.
Milbank Memorial Fund: (4/5) - A group of independent physicians, health plan administrators, and a state senator in Nebraska partnered to strengthen the state’s primary care infrastructure and align health plans and providers around shared population health goals. Senator Mike Gloor of Nebraska introduced a bill in 2009 to pilot a patient-centered medical home model within the Medicaid program to allow payers to offer primary care practices support, which has since expanded to a statewide model that has the support of primary care clinicians in the state.
National Governors Association: (4/5) - The National Governors Association issued a brief summarizing four areas where states can implement strategies to standardize and streamline broader adoption of value-based payment models. The brief includes case studies and priority areas for federal support to amplify efforts around VBC, and recommends the following four areas for states to consider: adopting a long-term vision, ensuring payer alignment, convening stakeholders to develop a coordinated vision, and collecting data to monitor quality and make improvements.
MedCity News: (4/2) - The COVID-19 pandemic has added urgency to the shift toward value-based care due to the financial insecurity many providers have faced and delayed care patients have put off during the public health emergency. To realign incentives of providers, payers, and patients toward sustainably improving health outcomes in a value-based care system, this article recommends the following changes that employers, insurers, and providers can immediately implement: maximize the use of telehealth, break down the barrier between physical and mental health, and focus on primary prevention.
Modern Healthcare: (4/2) - Over 40 health care systems and insurers in Oregon have committed to boosting their value-based payment models by signing the voluntary Oregon Value-based Payment Compact that aims to tie 70 percent of their payments to capitation and other alternative payment models by 2024. This initiative aligns with Oregon’s cost growth benchmark that went into effect this year and aims to reduce the cost growth rate to 3.4 percent.
Healthcare IT News: (4/2) - In 2011, Intermountain Healthcare started moving toward value-based care to drive affordability and quality. The health system launched Castell, Intermountain’s analytics platform subsidiary, in 2019 to help providers, payers, ACOs and others manage the demands of value-based payment reimbursements. To better partner with both Intermountain providers and independent providers in value-based arrangements, Castell partnered with other vendors to better gather data about the members served to better manage risk contracts and value-based care goals.
AJMC: (4/1) - A survey conducted by the National Alliance of Healthcare Purchaser Coalitions found that 31 percent of employers that are considering the transition to value-based care are considering the benefits design approach, adding to the 35 percent of employers that are already invested in VBC models.
Managed Healthcare Executive: (4/1) - In this interview, Managed Healthcare Executive spoke with François de Brantes, Senior Vice President of Episodes of Care at Signify Health, about value-based care and how the Direct Contracting Model differs from Medicare Advantage.
Managed Healthcare Executive: (3/31) - Value-based care has become critically important to health care leaders reflecting back on the last year of the COVID-19 pandemic. Health care leaders are looking to stabilize provider reimbursements and improve patient outcomes while reducing costs. To make this a reality, this article recommends three steps to consider to work toward the transition to value-based care: interoperability, systemic change, and protecting the vulnerable.
Milbank Memorial Fund: (3/30) - This study looked at the role of primary care providers in providing and coordinating care for vulnerable patients with “long COVID,” or persisting systems associated with the virus beyond three weeks. The study highlights the unique role primary care providers play in providing care for such patients and calls for policy measures that include strengthening primary care, optimizing data quality, and addressing multiple nested domains of inequity to reduce the impact of long COVID on vulnerable groups.
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