Inside Angle

From 3M Health Information Systems

Tag: value-based payment

Blog Post

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

September 30th, 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), […]

Knowledge Lab Post

Video: What They’re Watching: Michael Keyes

With Michael Keyes

Michael Keyes, Client Engagement Manager at 3M Health Information Systems, joins State of Reform to discuss using data to improve healthcare.

Knowledge Lab Post

Article: Lessons learned from New York State’s transition to value

With Michael Keyes

Michael Keyes describes the approach used by the State of New York in promoting the transition to value-based payment (VBP) and provides insights for how providers nationwide should approach VBP […]

Blog Post

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

July 25th, 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 […]

Knowledge Lab Post

Article: The role of HCCs in a value-based payment system

With Donna Smith, RHIA, L. Gordon Moore, MD

L. Gordon Moore and Donna Smith discuss how appropriate documentation and coding of hierarchical condition categories (HCCs) can have a significant impact on payment in a value-based system.

Blog Post

Value-based payments: How well do you know your members?

November 13th, 2017 / By Gina Perna

New York is one of many states in the process of reforming the way it pays providers through a Delivery System Reform Incentive Payment (DSRIP) program. The goal is to […]

Knowledge Lab Post

Case Study: Hierarchical condition categories: Get documentation and coding right

With Donna Smith, RHIA

3M research conducted by HIMSS Analytics sought to understand how organizations manage data in support of value-based payment models based on HCCs.

Blog Post

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

May 3rd, 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 […]

Knowledge Lab Post

Video: Provider-affiliated health plans

What are the top five things “payviders” need to pay attention to? This video rounds them up.

Blog Post

One thing we do know – Value-based payment in health care is here to stay

March 1st, 2017 / By Gretchen Mills

Political agreement across the aisle!  “What’s that?” you ask. Yes it is true that there is general agreement that healthcare payment in the U.S. has to transition from paying for […]

Blog Post

Calculating reliability: Methodology adapted for estimating stability of cost data in New York

February 1st, 2017 / By Michael Keyes, Ryan Butterfield, DrPH, MBA

Introduction Achieving New York’s goal of moving 80-90 percent of managed Medicaid dollars to Value-based payment (VBP) arrangements by 2020 will certainly be a challenge.  Most MCOs will need to […]

Blog Post

Expanding VBP arrangements to meet requirements and medical ecosystems

December 12th, 2016 / By Shannon Garrison, Ryan Butterfield, DrPH, MBA

Following Medicare’s lead, New York State Medicaid has implemented requirements on health plans to rapidly increase the percentage of dollars being spent under value-based care arrangements. Not only will plans […]