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"Those providers who managed post-acute care had better outcomes.”- Seema Verma at #HomeCare100 on the #ACO Pathways to Success program over the last 10 years
It's not just about moving the average (e.g. for a condition like hypertension) but how are we eliminating disparities? @drmeenasesh during @CMSGov Medicare Reform Updates session #hcvalueweek
"We need to be thinking about people as people- think about their social needs alongside their health needs" @drmeenasesh For instance, screening for things like access to transportation and food insecurity #hcvalueweek
@drmeenasesh highlights three core areas @CMSGov is focused on when it comes to #valuebasedcare models: alignment, growth, and equity. Since these are linked, addressing one of these priorities also reinforces the others #hcvalueweek
Preferences and needs among patients are vast (consider demographics, geographies, etc.) ACOs need to be able to solve across all dimensions of access- that means engaging across multiple channels! #hcvalueweek
Which of the following channels is the answer to the access problem for ACOs?
a. patient portals
b. email
c. text
d. telehealth
According to Rick Foerster @PriviaHealth during @NAACOSnews webinar, the answer is "all of the above" #hcvalueweek
Rick Foerster @PriviaHealth during @NAACOSnews webinar:
"Access is really the foundational strategy for everything we do here with #valuebasedcare - really for all care...You're just dead in the water unless you can engage your patients proactively." #hcvalueweek
- Engage patients with tech (text, email, etc.)
- Use a curated SNF network
- Pharmacy utilization management (i.e. using biosimilars when they exist) #hcvalueweek
@CalcagnoDon during @NAACOSnews webinar on how Advocate Physician Partners thinks about managing #valuebasedcare:
- "Care management" is NOT just about "care managers" (but that's part of it)
- Risk stratify patients likely to utilize ED/ INP
#hcvalueweek
@Farzad_MD 's example could also help patients/beneficiaries better understand concept of #valuebasedcare. Language about "taking on risk" or "capitated payments" isn't patient centric #hcvalueweek
To achieve @CMSinnovates' goal, we're going to have to move a lot of communities that are 100% FFS today into VBC for the first time and need to create the ecosystem to enable that. This requires capital and allowing physicians to practice at top of license #hcvalueweek
Steve Sell, @agilonhealth CEO during primary care panel at #hcvalueweek:
- PCPs have been put at the bottom of the priority list in FFS, whereas value-based care flips that
- We need more people choosing primary care coming out of med school
@jessicaansong Yep, this is a major proof point for #valuebasedcare. So is what Steve Sell from @agilonhealth shared about value-based providers having significantly higher net promoter scores than the average for a Dr. #hcvalueweek
2. The healthcare system needs to be designed around creating a better experience and better outcomes for patients
3. When Drs. start practicing #valuebasedcare, it's better for them, too. They think, "this is why I went to medical school!"
@rushika1 with some great takeaways during #HCValueWeek primary care panel. 1. Importance of multi-payer alignment around risk-based payment models. This means all payers- Medicare, Medicaid, commericial- need to be on board
@farzadmd making some great points during roundtable on future of primary care #HCValueweek
- we don't need more models- we need to supercharge the ones we have
- there needs to be a sense of inevitability that VBC is happening
- can't disadvantage rural providers