Value-Based Care and Programs Toolkit

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  • 7/20/2018
  • Docs, Payer Execs Agree Providers Lack Tools for Value-Based Care
  • This article from RevCycle Intelligence explains how lack of technology and patient data may be stalling or even reversing the value-based care transition. The report referenced is based on a new survey by Quest Diagnostics of primary care physicians and health plan executives.
  • 7/10/2018
  • Pay Less, Take More: Success in Getting Patients to Take Their Medicine
  • University of Michigan Center for Value-Based Insurance Design shares an article about results of basing patients' medication costs on the health benefits they'll get from a drug, rather than its price. A new review of value-based insurance design shows they're more likely to take it.
  • 6/28/2018
  • Presentation: Promoting High Value Care and Reducing Low Value Care
  • UM Center for Value-Based Insurance Design shares how clinically nuanced, value-based insurance design (V-BID) can guide an evidence-based reallocation of clinical services to help achieve the Triple-Aim. This presentation took place June, 2018 during the Health System/Health Plan Value Visit in Chicago.ID_062818
  • 3/20/2018
  • Presentation: Value-based Healthcare Transformation
  • During this presentation, Change Healthcare executives Norberto Correa and Andrei Gonzalez, MD discuss the current state of industry transformation and IT interoperability and the correlation between the two.
  • 11/15/2017
  • Presentation: Glide Path to VBR
  • This presentation provides guidance for health plans seeking to systematize their support for value-based reimbursement and supporting value-based care for their providers.
  • 11/1/2017
  • Presentation: Lumeris - Succeeding in Value-Based Care
  • This Vendor Spotlight discusses how Lumeris used its Medicare Advantage plan as a laboratory, experimenting with various approaches to identify the necessary components, both strategic and operational, to achieve 4.5 and 5 STAR ratings, reduce disenrollment, grow the plan, and be named Best in KLAS for the past two years.
  • 10/24/2017
  • Presentation: Value Based Care for Health Plans
  • Medicaid health plans are seeing a growing appetite for Value Based Care across the country. While each state brings its own nuance to the table, we are seeing consistent themes on a national scale.
  • 9/5/2017
  • HealthScape Value Based Payment Survey Summary
  • HealthScape Advisors recently partnered with the Health Plan Alliance and several of their health plan clients to investigate drivers of success under value-based payment models. The effort included a survey with responses from more than 30 health plans to understand each organization's journey toward value-based payment.
  • 7/30/2017
  • Presentation: Johns Hopkins Case Study: Plotting out a pathway to risk
  • In this case study presentation at the 2017 Medicare Advantage Value Visit, Johns Hopkins leaders share their strategic vision for the organization's "pathway to risk" ? how they are laying plans and making investments to prepare the health plan for successfully administering VBP structures. Presenters discuss their pathway and its guiding principles and what elements need to be at risk. In addition, they share what they?ve identified as the fundamentals of assessing providers? risk readiness and the tools and education they are developing to support provider transformation - especially in the MA business.