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Value-Based Care

CAQH CORE and eHI Joint Webinar: Data Needs for Successful Value-based Care Outcomes

November 20, 2017

Presentation slides and recording from 11/22/17 joint webinar from CAQH CORE and eHI.

Emerging value-based payment (VBP) models are critically important in meeting future needs for improved quality and cost of healthcare. This national movement away from fee-for-service (FFS) to VBP is a massive undertaking and the transition can be made more difficult when payment reform efforts occur as add-ons to traditional FFS contracts. One of the operational challenges inherent in the transition to VBP is appropriate use of clinical and administrative data. Guest speaker, Dr. Steven Waldren, is the Director of the AAFP's Alliance for eHealth Innovation. Dr. Waldren will discuss the existing challenges and operational capabilities needed to ensure accurate and reliable data to effectively reward value over volume in healthcare delivery. 

Optimizing Strategies for Clinical Decision Support: Summary of a Meeting Series

November 14, 2017

As a result of a collaboration between the NAM and the Office of the National Coordinator for Health Information Technology, this NAM Special Publication summarizes and builds upon a meeting series in which a multistakeholder group of experts explored the potential of clinical decision support (CDS) to transform care delivery by ameliorating the burden that expanding clinical knowledge and care and choice complexity place on the finite time and attention of clinicians, patients, and members of the care team. This summary also includes highlights from discussions to address the barriers to realizing the full benefits of CDS-facilitated value improvement.  
 

 This document identifies the need for a continuously learning health system driven by the seamless and rapid generation, processing, and practical application of the best available evidence for clinical decision-making, and lays out a series of actionable collaborative next steps to optimize strategies for adoption and use of clinical decision support.

Today's Health Technology Partnership: Innovations that Advance the Triple Aim

October 24, 2017

Presentation slides and recording from 10/24/17 webinar:

Transparent processes, actionable data and strong relationships between a health plan and an ACO can substantially improve quality outcomes and make the health care system work better for all. 

Webinar speakers offer an exclusive look at some of the newest technologies that are used to put timely data at an ACO’s fingertips. Participants will also walk away with an overview of best practices in facilitating the physician-patient relationship and promoting the Triple Aim, as well as the real-world perspective of an ACO leader on how these tools are adding value and improving health outcomes.

Speakers include:
•Dr. Anthony Nguyen, Senior Vice President, Population Health, UnitedHealthcare Clinical Services
•Sagran Moodley, Senior Vice President, UnitedHealthcare Clinical Data Services & Technology
•Richard Panek, CEO, State of Franklin Healthcare Associates; CAO, Qualuable Medical Professionals; CAO, Primary Care Partners

How the Shift from Volume to Value is Driving Better Health Outcomes

October 13, 2017

UnitedHealthcare gathered both data and experiences extracted from their work with 110,000 physicians and 1,100 hospitals now
participating in some form of VBC program, including:
• Key findings and successes with their providers who are shifting to VBC.
• Important takeaways and best practices that emerged from their two ACO summits held in 2016 with more than 40 top-performing ACOs.
• Patient and physician stories illustrating the personal impact of VBC.
• Items they believe will be most critical over the coming years for more widespread adoption of VBC models and ACOs.

The 2017 ACO Survey: What Do Current Trends Tell Us About the Future of Accountable Care?

October 04, 2017

To better understand current trends and predict future developments in the accountable care community, the National Association of ACOs (NAACOS) and Leavitt Partners collaborated to develop the Annual ACO Survey. This article presents and overview of the results from the inaugural 2017 Annual ACO Survey and provides important insights into the current and future state of the ACO industry.