Inside Angle

From 3M Health Information Systems

Tag: VBP

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.

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 […]

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 […]

Mortality measures: Back from the dead….

May 16th, 2018 / By Richard Fuller, MS

Within the CMS proposed rule for FY2019 published at the end of April, there is a proposal to consolidate and improve the value-based purchasing (VBP) payment adjustment model. On the […]

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 […]

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 […]

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 […]

HCCs: A frequent factor in the value equation

February 20th, 2017 / By Kristine Daynes

Shifting from volume-driven to value-based healthcare wouldn’t be so difficult if value meant just one thing. But every payer and value-based program defines value to suit its own purposes—on good […]

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 […]

I don’t care what people say…Quality is here to stay!

December 21st, 2016 / By Cheryl Manchenton, RN

As usual I have a song in my head and this month is no different (rock ‘n’ roll tunes are so catchy)!  As we are about to navigate through uncertain […]

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 […]