Resources

“Learning isn’t acquiring knowledge so much as it is trimming information that has already been acquired.” 

― Criss Jami

The resources below have been accumulated over time while offering our clients transformational Value Based Payment insights. They are meant to help you navigate the VBP arena, but if you are looking for more detailed information, feel free to contact XtraGlobex for customized solutions tailored to your company.

Learn more about VBP from top sources, including an overview of the Medicare Value Based Purchasing Program and review methodologies, how VBP can benefit an organization, and more. 

Find all-encompassing compilations of information from other sources like the National Council for Behavioral Health and the American Journal of Managed Care regarding VBP.

VBP is changing healthcare and it’s important to understand how technology will play a role in Value Based Care so your organization can stay informed, prepared, and successful.

Value Based Payments are impacting every aspect of the medical field, including clinical labs. In this section, you will find links to in-depth clinical labs covering VBP.

Accountable care organizations (ACOs) were formed in part to implement value based strategies and these resources are designed to help ACOs succeed under value based care.

The U.S. has the most expensive health system on the planet, but doesn’t have the outcomes to show for it. These resources cover the overlap of VBP and Behavioral Health.

To get customized VBP insights tailored to your organization's specific needs, contact XtraGlobex Today!

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Overviews

The Washington State Hospital Association Apprise Health Insights and Oregon Association of Hospitals and Health Systems worked to compile an overview of the Medicare Value Based Purchasing Program and review methodologies.

The American Journal of Managed Care (AJMC) details the current state of readiness of healthcare organizations in employing value-based care, while also providing tips on how minor changes in one’s system framework can help.

A compilation of the Washington State Health Care Authority’s take on Value Based Purchasing and how it can benefit an organization. 

GNYHA developed Value Based Payment Fundamentals: A Guide to New York State Medicaid Value-Based Payment.

Centers for Medicare & Medicaid Services Accountable Care Organizations (ACOs) portal.

The New York State Delivery System Reform Incentive Payment (DSRIP) Program’s Value Based Payment Reform (VBP) resource library.

Information Hubs

The DSRIP Program aims to restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25% over 5 years.

The Hospital Value Based Purchasing Program seeks to improve patient safety and experience by basing Medicare payments on the quality of care provided, rather than on the quantity of services performed. Hospital VBP affects payment for inpatient stays in more than 3,000 hospitals across the country.

The NCBH is the unifying voice of America’s health care organizations that deliver mental health and addictions treatment and services.

The AJMC provides an in-depth look at Value Based Payments through their Institute of Value-Based Medicine news page.

IT Resources

Inside Digital Health™ delivers the information that healthcare decision makers and physicians need to confidently navigate the digital transformation.  The present compelling stories about the institutions and individuals fomenting positive change

Kevin Mehta, Chief Technology Officer of Payformance Solutions, takes us through the 3 Keys For Value Based Care Success.  

Healthcare in the United States is changing rapidly, and within the next few years, it will look very different than it does today. Forbes examines 5 ways technology will play a role in Value Based Care.

In order to be successful under the expanding influence of value-based care models, organizations must be committed to long-term quality improvements, including quality measures and clean, reliable data.

Improving claims data access for providers and patients topped the list of AMGA’s value-based care needs. Other demands included MACRA, ACO benchmarking, and physician self-referral reform.

Clinical Labs

Value based reimbursement is considered a way to cap costs and spread financial risk among providers while encouraging coordination of care, disease prevention and better management of chronic conditions. This is seen as a threat to the survival of clinical labs, which expect to see far fewer tests ordered by healthcare providers. In partnership with THE DARK REPORT, the Clinical Laboratory Management Association is working to help labs navigate these revenue-threatening changes.

ACO Resources

Accountable care organizations (ACOs) were formed in part to implement value based strategies, but the transition to ACOs has moved more slowly than many expected. This explains how ACOs can succeed under value based care.

The key for ACO success this new year and in the coming years, based on the experience of high-performing organizations, is to focus on the basics of patient and physician engagement.

The Centers for Medicare & Medicaid Services, CMS, is part of the Department of Health and Human Services (HHS).

Accountable care organizations promote higher care quality at lower costs while shifting risk to providers, making the model a staple of value-based care.

Value-based care payment stimulates more preventive care and a reduction of hospital stays as well as emergency room visits.

ACOs have demonstrated the ability to lower healthcare costs. Very soon, it’s likely they’ll also need to show they can take on more downside risk.

Behavioral Health

In addition to the heavy human toll, behavioral health issues greatly contribute to another crisis that affects everyone who comes into contact with the U.S. health system. The U.S. has the most expensive health system on the planet, but doesn’t have the outcomes to show for it.

By taking the time to partner with community organizations, Medicare Advantage plans offer an invaluable resource to providers who are working around the clock for their patients and may not have the time to vet and pursue community relationships.

With every headline about our country’s mental health crisis or opioid crisis, this painful reality becomes more apparent – and as time passes, more expensive. As all healthcare stakeholders move to align their financial interests by prioritizing value over volume, it becomes more important to identify and treat behavioral health needs before they escalate into more costly problems.