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Primary Care is a growing focus of CMS payment models in Value-Based Care. Recognizing that many primary care physicians are resistant to ACO membership, CMS is building alternative payment strategies to induce practice adoption of Value-Based Care features like accountability, practice transformation, population health and equity. Similar specialty models organize care around episodes and facilitate movement toward episodic payment.
MSSP ACOs and ACO REACH, very different financial payment models, similarly structure their enterprises to focus on coordination of care and other interventions to improve equity and outcomes.
These models make different contributions to the landscape of Value-Based care. As physicians have more choices in how to participate in various models of health delivery, the differences in goals and economics will create comparisons and challenges about the most sustainable and successful VBC models. And with a growing physician shortfall in both primary care and specialty, they may also impact the growth potential for VBC models like ACOs.
Learning objectives and topics:
- What are the key pathways for primary and specialty physicians in Value-Based Care?
- How do new models like Making Care Primary and the new CMS PFS Rule help new accountability efforts? Are these a deterrent to ACO participation?
- Is Making Care Primary an expandable model for other objectives?
- What is the horizon for specialty care models in VBC?
- How are MSSP ACOs and ACO REACH helping to transform physician practices, or not?
- Among ACOs, what is state of physician practice transformation?
- What do physicians really want and need to participate in existing models of Value-based care?
- With growing concern about physician shortages, how will these multiple payment models protect access to care?
- What’s the best way to help primary and specialty providers evaluate their options of VBC Participation?
Physicians need help to create a pathway to Value-Based Care that will allow them to practice at the top of their license by eliminating excess busywork, and helping them achieve the best patient care goals. Health systems, ACOs, medical schools, and physician groups all have a stake in clarifying the options for physician and physician group participation in Value-Based Care. What can we provide to physicians so that they can be successful? Learn how the different models create different structures for physician inclusion, and what helps or hurts both physicians and the entity as they navigate the VBC path.
Speakers: Theresa Hush, CEO, Roji Health Intelligence LLC