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

Getting Started in Value Based Care SLIDES

Pdf Summary

The workshop "Demystifying Value-Based Care" held on April 13, 2023, led by Margaret Cordes, MPH, and other faculty members aimed to elucidate the changing landscape of value-based care, particularly the shift towards home-based primary care (HBPC). It highlighted the critical need for strategic planning and adaptation in clinical practices to thrive under value-based payment arrangements.<br /><br />Key disclosures confirmed that none of the planners or faculty had financial relationships with ineligible companies. The activity was accredited by the ACCME, allowing for a maximum of 4 AMA PRA Category 1 Credits for physicians, with the credits applicable to other healthcare professionals including nurse practitioners, physician assistants, and more.<br /><br />The workshop detailed the socioeconomic drivers of HBPC, assessed clinical models for risk contract readiness, and emphasized the importance of payer relationships and leveraging quality metrics data. Faculty members, including Paul Chiang, MD, Amanda Tufano, MHA, FACHE, and Michael Helle, NRP/CCP, MHA, MBA, brought extensive expertise to the session.<br /><br />Key sessions included discussions on the future of HBPC, quantified its value, examined Medicare advanced payment models, and provided guidance on engaging with specialists. Specific topics such as HCC coding, risk adjustment, and the creation and use of various value-based contracts were explored in-depth.<br /><br />The workshop also underscored the importance of accurate documentation and data interpretation to support risk adjustment and value-based care models. It provided practical steps for developing effective relationships with payers and integrating quality improvement efforts into clinical practice.<br /><br />In conclusion, the key takeaways reinforced that home-based primary care is positioned for growth due to industry trends and that new, sustainable payment models are essential for its expansion. Accurate coding, risk management, and effective partnerships were identified as fundamental components for success in the evolving landscape of value-based healthcare.

Keywords

Value-Based Care

Home-Based Primary Care

Clinical Practices

Strategic Planning

Quality Metrics

Medicare Payment Models

Risk Adjustment

Payer Relationships

Accurate Documentation

Healthcare Professionals