Inside Angle

From 3M Health Information Systems

Tag: VBP

Melissa ClarkeMelissa Clarke

Blog post

What have we learned in the last 10 years about payment for value-based care?

June 20, 2022 / By Melissa Clarke, MD

For all the wonderful advancement in health care diagnostics and therapeutics, the U.S. health care system has yet to solve for high costs of care while also improving outcomes. These […]

Melissa ClarkeMelissa Clarke

Blog post

Social risk is the flour, not the icing, in baking the cake of value-based care

March 14, 2022 / By Melissa Clarke, MD

Population health, and the payment arrangements it supports, cannot be done successfully without incorporating social risk. Adoption of value-based payment The decade since the passage of the 2010 Affordable Care […]

Blog post

Aligned incentives through Episodes of Care

May 17, 2021 / By Rick Kresinske

Ever heard a primary care physician (PCP) in a value-based payment (VBP) contract say they shouldn’t be responsible for a patient they’ve never seen? Have your non-PCP, specialty providers (specialists) […]

Blog post

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 […]

Blog post

How should value-based payment programs reconcile after COVID-19?

Sept. 30, 2020 / By Shannon Garrison

Value-based payment (VBP) contracts have been taking hold across the spectrum of payers. Unfortunately, COVID-19 will make it difficult for VBP contracts to be settled. At some interval (usually yearly), […]

Blog post

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 […]

Blog post

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 […]

Blog post

Hospitals, health systems and value-based payment: How do they work together?

July 25, 2018 / By L. Gordon Moore, MD

The pressure to improve healthcare outcomes and reduce unnecessary use of healthcare resources weighs heavily on hospital and health system administrators working with tight margins. Success under value-based payment requires […]

Blog post

Mortality measures: Back from the dead….

May 16, 2018 / By Richard Fuller, MS

Within the CMS proposed rule for FY2019 published at the end of April, there is a proposal to consolidate and improve the value-based purchasing (VBP) payment adjustment model. On the […]

Blog post

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 […]

Blog post

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 […]

Blog post

Value-based payment means risk adjustment for effective revenue cycle management

May 3, 2017 / By Kristine Daynes

Value-based payment models are attracting attention for risk adjustment methodologies, especially HCC risk adjustment, which is used to calculate cost benchmarks for Medicare Advantage and other CMS payment models including […]