Value-Based Care and Programs Toolkit

Presentation: Background and Motivation for VBID in MA
A. Mark Fendrick, MD of the University of Michigan Center for Value-Based Insurance Design lays the groundwork for the MA VBID 2.0 session by providing a history of VBID and motivation for implementing it at health plans.

Presentation: VBID's Evolution and Current Role in MA
Manatt, Phelps and Phillips, presents and leads a discussion of the amendment of the Uniformity Rule and the MA VBID model evaluation report during the Medicare Advantage VBID 2.0 fly-in held in Irving, TX, August 6, 2019.

Presentation: Case Study - UPMC's journey with the VBID demo
UPMC Health Plan shares firsthand how UPMC implemented VBID design in their Medicare Advantage product during the Medicare Advantage VBID 2.0 fly-in held in Irving, TX, August 7, 2019.

Center for Value-Based Insurance Design MA V-BID Toolkit
The Center for Value-Based Insurance Design has curated valuable MA V-BID resources and information specifically for Alliance members

Recording: Engaging Providers in Value Based Care - Health New England Case Study
Dr. Gianturco, CMO of Health New England shares an overview of the approach HNE has used to implement a value based contracting strategy for PHOs/ACOs in their network that can be used with Commercial or Medicare Advantage contracts.

Presentation: Value Based Care Health New England Case Study
Dr. Gianturco shares an overview of some of the key challenges and barriers experienced along their journey in moving from a shared savings to a risk model with quality targets.

Value-Based Care Requirements in Medicaid
HealthScape and Pareto Intelligence provide an overview of value-based care requirements in Medicaid. Whereas Medicare is advancing towards meaningful VBC, Medicaid has less momentum. The Medicaid program is in a pre-evolutionary phase.

Assessing Joint Venture Models for Provider-Sponsored Health Plan Products
In this whitepaper, HealthScape Advisors provides a market overview and considerations for provider-sponsored health plan joint venture products.

Value-Based Contracting: How to Think Like a Payer
HealthScape Advisors shares an Executive Briefing white paper written from a provider lens and point of view on how to approach the roadmap to risk.

Article: Transitioning Payment Models: Fee-for-Service to Value-Based Care
A new survey by NEJM Catalyst reveals insights on the current state of the transition to value. Leveraging experiences tackling health care's biggest problems, Dr. Darshak Sanghavi shares his perspective on what these findings mean and the challenges moving forward.

Article: Creating Value in Healthcare: A CMO's Perspective
Dr. Ethan Berke discusses what value really means today, best practices that payers and providers are using to affect value and how high-value care can be delivered while working within multiple payment models.

Recording: Operational Efficiency or Agility - Why Not Both?
HealthEdge discusses how leading companies reduce administrative costs and reallocate savings to innovation and growth. The role of flexible technology in aligning operational processes with business goals and maximizing operational efficiency by automating.

V-BID in Action: The Case of Diabetes
V-BID Center in cooperation with the Center for Workforce Health and Performance (CWHP) addresses the growing problem of cost-related non-adherence for patients with diabetes and explores the potential role of value-based insurance design in enhancing access to evidence-based care and improving patient centered outcomes.

V-BID in Diabetes-Infographic
V-BID Center in cooperation with the Center for Workforce Health and Performance (CWHP) addresses the growing problem of cost-related non-adherence for patients with diabetes and explores the potential role of value-based insurance design in enhancing access to evidence-based care and improving patient centered outcomes.

RECORDING: V-BID in Action-The Case of Diabetes
V-BID Center in cooperation with the Center for Workforce Health and Performance (CWHP) addresses the growing problem of cost-related non-adherence for patients with diabetes and explores the potential role of value-based insurance design in enhancing access to evidence-based care and improving patient centered outcomes.