Inside Angle

From 3M Health Information Systems

Tag: value-based purchasing

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Four key problems with current value-based program design: How might we achieve better results?

March 22, 2021 / By L. Gordon Moore, MD

If we want better health care outcomes in the U.S., we need to change the way we finance health care. Policies flowing from Medicare are a strong signal to the […]

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What are America’s Health Insurance Plans thinking about in these tumultuous times?

Aug. 14, 2020 / By L. Gordon Moore, MD

These times of uncertainty and stress press us to rethink what we are doing and where we are headed in terms of health care. I had a chance to speak […]

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Does Medicare’s value-based purchasing model really create value in healthcare delivery?

Dec. 2, 2019 / By Samuel Young, MD

Value-based reimbursement is the soup du jour in the medical industry these days. How value is defined, however, can vary depending on one’s perspective. Most experts in the field agree […]

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Solving the mismatch between poor quality scores and outstanding care

Jan. 29, 2018 / By Kristine Daynes

Recently, I reviewed the Medicare Hospital Value-Based Purchasing (VBP) scores for three hospitals recognized nationally for outstanding care and patient safety. They didn’t look good. The ratings for clinical outcomes […]

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Four ways HCCs impact health systems

Dec. 22, 2017 / By Kristine Daynes

Hierarchical Condition Categories (HCCs) have been the underlying risk adjustment for many Medicare programs for several years. But they didn’t attract wide interest until CMS began shifting more payment toward […]

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How can we match the right resources and interventions to patient needs? Better risk stratification

Sept. 11, 2017 / By L. Gordon Moore, MD

With the unrelenting pressure to reduce unnecessary costs in healthcare delivery and despite (or maybe because of) the lack of clear direction from the federal government, Medicaid plans across the […]

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Risky business: Achieving value-based purchasing goals in New York State

April 14, 2017 / By Michael Keyes

I’ve spent much of the last few months traversing the State of New York speaking to our Medicaid MCOs about their strategies to reach the state’s value-based purchasing (VBP) goals. It’s […]

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Moving from “the data is wrong” to “all data is flawed but still useful”

April 12, 2017 / By L. Gordon Moore, MD

Value-based purchasing and population health management are supposed to change aspects of the relationship between insurers (health plans) and providers (accountable care organizations, health systems, etc).  New contracts are supposed […]

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VBP pilot programs underway in New York State

March 20, 2017 / By Matthew Ehlinger

In New York State (NYS), as the final results for measurement Year 2 are solidifying, Value-based Payment (VBP) pilot programs are starting. The VBP pilots do not have an easy […]

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Transitional care interventions: Evidence supports more intense interventions

Jan. 8, 2016 / By L. Gordon Moore, MD

Responding to value-based-purchasing, provider groups across the US are implementing or tweaking programs to reduce unnecessary hospital readmission or emergency department visits. Much of this is stimulated by Medicare’s plans […]

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MedPAC financing recommendations for rural hospitals should be extended to all

Nov. 16, 2015 / By Richard Fuller, MS, Norbert Goldfield, MD

In the MedPAC October meeting, the commission returned to the seemingly intractable problem of equalizing access to health care for rural communities. Medicare payment offers three sources of support within […]