DaVita Kidney Care’s Post

As specialty care costs continue to rise as the result of a number of factors, do you as a VBC organization have enough mass to capitalize on these types of outsourcing strategies? I think we are seeing a clear need to scale to achieve these efficiencies.

Specialty participation in #ValueBasedCare is a strategic priority for providers, purchasers, payers, and policymakers. In collaboration with senior leaders at payer, provider, and VBC enabler organizations, the Health Care Transformation Task Force developed a strategic framework to describe the breadth of specialty VBC models in the public and private sectors. Three categories may be layered to align incentives for value, quality, and equity across specialties and organizations:  ➡️ Longitudinal Total Cost of Care   ➡️ Conditions & Episodes  ➡️ Performance Incentives Read more here: https://lnkd.in/e9aTT-ym 

Are you tracking the new ACO Primary Care Flex Model? It’s a variant of the MSSP ACO model that introduces targeted investment in primary care beginning January 1, 2025 and running for five years through December 31, 2029. Is it a good fit for your organization? Read this article written by COPE Health Solutions experts Steven Hefter, MPH and Allen Miller to learn Below four key elements of the model. https://lnkd.in/gkqXdcHj #healthcare #MSSP #ACO #primarycare

This week, the Health Care Transformation Task Force, a group of "leading health care payers, providers, purchasers, patient organizations, and value transformation partners," released a new resource detailing the importance of value-based care (VBC) healthcare models. The resource, entitled "The Next Frontier: Specialty Integration in Value-Based Care", was a collaboration between a number of senior leaders across various VBC organizations, and includes ten case studies demonstrating the potential that value-based care offers for increased integration between various specialty practices, treatment types, and patient populations. Speaking on behalf of Aledade, Inc., which is a member of the task force, SVP of Innovation and Partnerships Catherine Olexa-Meadors spoke about Aledade's experience with value-based care, stating that "By leveraging data-driven insights and close collaboration between independent primary care physicians and specialists, [Aledade has] improved patient outcomes and reduced avoidable hospitalizations. Programs like this show how specialty care can be integrated into value-based care models, creating scalable solutions that enhance quality while lowering costs." Read the full press release below: https://lnkd.in/gHAC_ZDM #Medical #Medicine #PrimaryCare #Medicare #Medicaid

Traditional primary care typically operates on a fee-for-service payment model, resulting in a transactional approach that is under-utilized and ineffective. This model limits the potential of primary care to improve health outcomes and reduce long-term costs. First Stop Health is fulfilling the promise of primary care through a virtual model providing value-based care, resulting in improved outcomes and lower healthcare costs. Learn More: https://fshealth.info/DVC #VirtualPrimaryCare #PatientOutcomes #CostContainment 

Very interesting article. It mentions that by large systems buying/making partnerships with VBC organizations and purchasing independent primary care practices, their ability to have control over the patient-physician relationship will suffer. While this will certainly be an issue, I don't believe this will always be the case, especially with strong, clear communication. By leveraging resources to improve efficiencies, reduce costs, and careful planning and focus on patient-centered care models, these partnerships could even enhance the patient-physician relationship by providing doctors with more time and support to focus on their patients' needs. What are your thoughts? #VBC #ValueBasedCare #Healthcare

CMS announced a new voluntary model within MSSP called the ACO Primary Care Flex Model that introduces targeted investment in primary care that begins on January 1, 2025 and runs for five years through December 31, 2029. Read this article written by COPE Health Solutions experts Steven Hefter and Allen Miller to learn Below four key elements of the model. https://lnkd.in/gkqXdcHj #healthcare #MSSP #ACO #primarycare

I’ve posted about this in the past but it is worth revisiting…quad aim isn’t easy to achieve. Most new healthcare technologies only impact one or maybe two aspects of quad aim at best (many others claim to impact quad aim while simply increasing costs and burdening physicians). A lack of attention to quad aim is potentially one of the reasons why certain hospitals are losing patients, frequently diagnosed late, to competitive facilities. #CSuiteexecutives #CEO #CFO #COO #CMO #CNO we can not only show you who you are losing your patients to (and the impact that this is having on topline), but we can also provide you with a tool that allows for quadruple aim to be achieved. Implementing our solution will allow your clinicians to catch disease earlier, improve patient experience with point of care insights, reduce costs through a reduction in unnecessary testing and hospital visits, and given the simplicity of our Eko Health #SENSORA™️ application reduce cognitive burden and improve physician experience. The largest and most respected healthcare systems are choosing SENSORA™️. We look forward to partnering with all of the others that care about quadruple aim and the impact that it can have on patients and providers. #earlydetectionmatters #vhd #heartfailure #lowef #heartdisease https://lnkd.in/g-uXfEqS

Next up: Balancing Provider Well-being with Value-Based Care: A Delicate Equation The shift towards value-based care incentivizes outcomes over volume, fostering a focus on preventive care, chronic disease management, and overall patient wellness. While this model holds great promise for improving patient outcomes and reducing costs, it also introduces new stressors for healthcare professionals. Policymakers and payers play a pivotal role in alleviating the burden on providers by designing value-based care models that are fair, transparent, and sustainable. This means ensuring adequate reimbursement rates, reducing administrative complexity, and incorporating meaningful measures of quality and patient outcomes. Ultimately, achieving the full potential of value-based care requires a collaborative effort from all stakeholders—providers, organizations, policymakers, and payers—to strike the right balance between improving patient care and supporting the well-being of those who deliver it. We are thrilled to have a panel of payers and community collaborators to talk through the good, the bad and the ugly Jennifer Briggs, GRIPA Andrew Dailey, MVP Health Care Chris O'Donnell, Excellus Mark Cronin, Accountable Health Partners