Building a Value-Based Pharmacy Performance Program

November 15, 2021Garrett SchmittNo Commentspharmaceutical services, Pharmacy, Pharmacy Quality Alliance, PQA, value-based, value-based care, vbc

The Pharmacy Quality Alliance (PQA) continues to forge ahead with our work to develop a set of standard pharmacy performance measures that would be appropriate for use in value-based plan-pharmacy agreements. Over the past 3 years, we have convened and worked with a broad base of industry leaders to identify and vet pharmacy performance measures that meet…

CMS Innovation Center Strategic Refresh Emphasizes Value-based Payment Models and Health Equity

November 11, 2021Garrett SchmittNo CommentsAffordable Care Act, Center for Medicare and Medicaid Innovation, CMMI, CMS, CMS Innovation Center, health equity, Medicaid, Medicare, payment models, Putting All Patients at the Center of Care, SDOH, strategic refresh, value-based, value-based care, value-based payment models, vbc

Recently, the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models. Since its inception in 2010 as a part of the Affordable Care Act, CMS has launched over 50 innovation/pilot…

The State of Payer, CBO Social Determinants of Health Contracting

September 22, 2021Garrett SchmittNo Commentscommunity, community-based, community-based organizations, Medicare Advantage, SDOH, social determinants, social determinants of health, value-based, value-based care, value-based contracting, vbc

Social determinants of health contracting with community-based organizations remains a complex and challenging task for payers as the demand for answers grows more pressing. As the industry’s awareness of social determinants of health expands, so does the need for evidence-based solutions. Often, these solutions require health insurers and health systems to contract with community-based organizations…

The Fear of Value-Based Reimbursement

September 8, 2021Garrett SchmittNo Commentsrisk-based, value-based, value-based care, value-based reimbursement, vbc

“All in.” “Bet on the future.” “Go big or go home.” “No guts, no glory.” “Nothing ventured, nothing gained.” None of those forward-looking, motivational words of encouragement describe how most healthcare providers feel about value-based reimbursement. A better word would be “fear.” That’s my read of the latest population health survey by Numerof & Associates…

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  • Integrating social determinants of health into health data exchanges
  • RECORDED WEBINAR: SDOH from the Theoretical to the Practical: A Story of Success in Dallas
  • MedPAC Backs Simplifying Medicare Alternative Payment Models
 
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