Main Library

Value-Based Medicare Advantage Payment Plans ‘Only Going to Increase’

September 7, 2021Amy StulickNo CommentsSkilled Nursing NewsMedicare, MA, MSSP, & Medicare ACOs,Alternative payment models (APMs)

There’s a strong possibility that Medicare will move to mandate value-based payment models (VBP) for the nursing home industry in the years to come, according to industry executives.

Dr. René Lerer and Brian Cloch, CEOs for Longevity Health Plan and Transitional Care Management, respectively, spoke at a panel on the future of VBP models during Skilled Nursing News’ RETHINK event last week.

Lerer pointed to his time at Florida Blue as a precursor to his thoughts on broader usage of VBP models.

The payer required 50% of all Medicare Advantage payments be value-based, a sentiment that is “only going to increase,” Lerer said.

Another evolutionary trait of the model, Lerer added, is the role of long-term care more closely aligning with the role of a primary care doctor.

“It can be the equivalent of the primary care doctor. [Long-term care facilities] drive that patient’s care, in my mind, and I’m a physician, more than the doctor does,” said Lerer. “In many places, they have 100 patients and 30 doctors, and those doctors are not doing what they need to do, and the building controls that.”

Full Article

: Medicare, Medicare Advantage, Medicare Advantage payment plans, nursing home industry, nursing homes, value-based care, value-based payment models, vbc, VBP

Related Posts

RECORDED WEBINAR: A Panel Discussion: Our Post-COVID Healthcare System & What We Have Learned

October 13, 2022aco

Collaborating to Support Better Outcomes Through Value-Based Care

July 23, 2021Garrett Schmitt

Using advanced analytics to look at the ‘whole person’ for better value-based care delivery

July 13, 2021Garrett Schmitt

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Recent Posts

  • Healthcare payment models are evolving: 5 key capabilities providers need to ace the shift to value-based care
  • Top Earning ACOs Deliver Keys to Success
  • To improve health equity, ‘look at your own data’
  • Here are the steps executives should take to build out a successful health equity strategy
  • FLASH INTERVIEW – Credo – 2023
 
  • Main Lobby
  • Exhibit Hall
  • Events
  • Exhibit With Us
  • Board Room
  • Library
  • Contact Us