Inside Angle

From 3M Health Information Systems

Tag: value-based purchasing

Webinar: Ready for 2019 value-based purchasing?

With Cheryl Manchenton, RN

The new year is upon us: Are you ready for the 2019 Value-Based Purchasing Program? Eric Sorenson and Cheryl Manchenton will help you get up to speed.

Solving the mismatch between poor quality scores and outstanding care

January 29th, 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 […]

Four ways HCCs impact health systems

December 22nd, 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 […]

How can we match the right resources and interventions to patient needs? Better risk stratification

September 11th, 2017 / By L. Gordon Moore, MD

With the unrelenting pressure to reduce unnecessary costs in healthcare delivery and despite (or maybe because of) the lack of clear direction from the federal government, Medicaid plans across the […]

Risky business: Achieving value-based purchasing goals in New York State

April 14th, 2017 / By Michael Keyes

I’ve spent much of the last few months traversing the State of New York speaking to our Medicaid MCOs about their strategies to reach the state’s value-based purchasing (VBP) goals. It’s […]

Moving from “the data is wrong” to “all data is flawed but still useful”

April 12th, 2017 / By L. Gordon Moore, MD

Value-based purchasing and population health management are supposed to change aspects of the relationship between insurers (health plans) and providers (accountable care organizations, health systems, etc).  New contracts are supposed […]

VBP pilot programs underway in New York State

March 20th, 2017 / By Matthew Ehlinger

In New York State (NYS), as the final results for measurement Year 2 are solidifying, Value-based Payment (VBP) pilot programs are starting. The VBP pilots do not have an easy […]

Webinar: How your approach to quality impacts total performance scores

With Donna Smith, RHIA

This webinar reviews the Total Performance Score calculation and how the Value-Based Purchasing Program measures will impact payment.

Transitional care interventions: Evidence supports more intense interventions

January 8th, 2016 / By L. Gordon Moore, MD

Responding to value-based-purchasing, provider groups across the US are implementing or tweaking programs to reduce unnecessary hospital readmission or emergency department visits. Much of this is stimulated by Medicare’s plans […]

MedPAC financing recommendations for rural hospitals should be extended to all

November 16th, 2015 / By Richard Fuller, MS, Norbert Goldfield, MD

In the MedPAC October meeting, the commission returned to the seemingly intractable problem of equalizing access to health care for rural communities. Medicare payment offers three sources of support within […]

Improving Outcomes by Focusing on Results: Readmissions, Complications and CMS

April 20th, 2015 / By Norbert Goldfield, MD, Richard Fuller, MS

It’s been nearly a century since Dr. Ernest Codman championed an “end results system” to track and measure hospital outcomes to determine the effectiveness of treatment and improve patients’ lives. […]

How Can You Predict a Patient’s Risk for Heart Failure? Ask Them.

March 25th, 2015 / By L. Gordon Moore, MD

A critical task in population health management is identifying individuals at risk for bad outcomes and providing intervention to reduce that risk. Claims-based algorithms identify prospective risk,¹ but people without […]