NYC Health + Hospitals’ Post

My new piece in JAMA Internal Medicine with Zeke Emanuel and Amol S Navathe discusses some of the challenges in value-based care program design and implementation. But why should you care about VBC in the first place? For those outside of healthcare, VBC may sound like jargon. Even within healthcare, many see VBC as a buzzword or worse – a ploy to boost profits. But we all know that the American healthcare system is broken. We feel it through rising premiums, and unfortunately, many lack adequate access to care. Nationally, rising healthcare costs are a major contributor to the deficit, with substantial implications to the country’s financial well-being and our ability to undertake big programs. Exploring the root cause, you will inevitably land on the misaligned incentives inherent to a fee-for-service system. To me, this is what VBC is about: realigning incentives to the benefit of all stakeholders: patients, clinicians, and the nation at large. It’s not going to be easy or fast. There are going to be disagreements and frustrations along the way. But it’s a challenge that we must face. #valuebasedcare #vbc #healthcareeconomics #healthcarereform #healthcaredata https://lnkd.in/e6WBJ7hg

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The Value in Health Care Act promised to transform the healthcare landscape for the better by introducing significant changes to the APM and ACO parameters aimed at fostering a more equitable and efficient healthcare system. https://hubs.la/Q01Zk1q20

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By utilizing innovative healthcare technologies, AMR delivers a single-source solution for our clients' managed healthcare administration needs. #healthcaretechnology #managedcare #IRO #PeerReview #PeerReviewServices #IROServices #IRO #medicalclaimreview #administration #healthcare #alliedhealth

Multiple healthcare organizations are throwing their support behind the Value in Health Care Act of 2023--federal legislation that could create new incentives for providers to adopt value-based care. This legislation would make several changes to alternative payment model and ACO parameters, which you can read about here. #valuebasedcare #alternativepayments #APM #ACO #healthcare

By utilizing innovative healthcare technologies, AMR delivers a single-source solution for our clients' managed healthcare administration needs. #healthcaretechnology #managedcare #IRO #PeerReview #PeerReviewServices #IROServices #IRO #medicalclaimreview #administration #healthcare #alliedhealth

News from the U.S. Department of Health and Human Services (HHS)! A new rule has been finalized to establish disincentives for healthcare providers that engage in information blocking, promoting better access and exchange of electronic health information (EHI). This action under the 21st Century Cures Act aims to ensure seamless access to crucial health information for both patients and health providers, enhancing care coordination and efficiency while safeguarding patient privacy. Key disincentives include: Medicare Promoting Interoperability Program: Eligible hospitals and critical access hospitals will face reduced payments if found guilty of information blocking. Merit-based Incentive Payment System (MIPS): Affected clinicians will receive a zero score in the Promoting Interoperability category, which will impact their overall MIPS score. Medicare Shared Savings Program: Accountable Care Organizations (ACOs) and associated providers may face program ineligibility for at least a year. This rule represents a significant step toward a more connected and transparent healthcare system. For more details, see the press release here- https://lnkd.in/gvUF34XE

Curious about how the proposed coding and payment changes in the CY 2024 Medicare Physician Fee Schedule Proposed Rule could impact efforts to align health and social care? (I definitely am.) Join the Partnership to Align Social Care for an upcoming webinar, What Does the CY 2024 Medicare Physician Fee Schedule Proposed Rule Mean for Addressing HRSNs?, on Tuesday, August 22 from 1:30pm ET to 3pm ET. Attendees will hear an overview and discussion of these updates and opportunities to inform the public comment process. CBO and community care hub, health plan, health system, and provider stakeholders who want to learn more about what the proposed coding and payment changes could mean for addressing HRSNs are encouraged to join. Register for the August 22nd event here: https://bit.ly/3E3Y6Ys