Demystifying Value-Based Care: Getting Started-Getting Started in Value-Based Care RECORDING

Video Transcription

Video Summary

The video begins with Margaret Cordes, the Director of Education at HCCI, introducing the workshop on demystifying value-based care. She explains that the workshop will be recorded and uploaded for future reference. Participants are encouraged to ask questions in the Q&A box and use the chat box for communication. Margaret thanks the John A. Hartford Foundation for their support. The workshop's objectives are outlined, focusing on topics such as home-based primary care, clinical models under risk contracts, building relationships with payers, coordinating with specialists, and evaluating a framework for home-based care. The agenda for the day is presented, showing the various topics that will be covered. The panel of experts for the workshop includes Dr. Paul Chang, Amanda Tufano, and Michael Helly.<br /><br />In another part of the video, Amanda discusses leakage adjustment in the context of the primary care first model. She explains that it is a penalty imposed by Medicare if patients seek primary care outside of their assigned primary care practice. Practices are encouraged to minimize leakage by providing comprehensive care and using accurate coding to receive proper reimbursement.<br /><br />The video concludes with a summary of the session on quality metrics and value-based care. The importance of using quality measures to demonstrate the value of home-based primary care and the challenges of coordinating care with specialists are discussed. Different sources of quality measures, such as HEDIS and STAR measures, are mentioned, along with the importance of creating actionable and specific metrics. It is emphasized that understanding contractual requirements and utilizing technology and data are crucial for tracking and improving quality metrics. The session concludes by mentioning the next topic of managing costs in value-based arrangements.

Keywords

Margaret Cordes

HCCI

workshop

value-based care

recorded

Q&A box

John A. Hartford Foundation

home-based primary care

clinical models

coordinating with specialists

leakage adjustment

Medicare

quality metrics

HEDIS

STAR measures