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  • Bundled Payment Update eNewsletter
  • MACRA MIPS/APM Update eNewsletter
  • Pay for Performance Update eNewsletter

From June 17, 2019
Pay for Performance Update eNewsletter #123

Seema Verma Envisions a US Health System that Shares Data, Is Truly Value-Based
Creating a healthcare system that prioritizes a well-informed consumer and rewards improvements in quality requires overhauling the current system. Through a series of programs and initiatives, CMS, under Administrator Seema Verma's leadership, is trying to fix some of the issues that plague the current US health system and make accessing care challenging for patients. "Our current healthcare system is complex, opaque, and difficult to navigate for patients," Verma told The American Journal of Managed Care® in written responses. "Empowering patients starts with giving them better access to their own personal health data." Data sharing is one area where CMS is making strides. The US healthcare system has done a notoriously poor job of making data in electronic health records (EHRs) usable and easy to share.1-4 Under Verma, CMS launched the Medicare Blue Button 2.0 program and overhauled the CMS EHR Incentive Programs. CMS also recently hired a chief healthcare informatics officer, who will help drive health information technology and data sharing, Verma wrote in a blog post when the role was first announced. These changes are being implemented to create an easier system for patients to navigate, with data that flow seamlessly between patients and providers. In the past, Verma has recounted her own personal experience with the health system when her husband went into cardiac arrest during a layover at an airport. After going through numerous tests, getting a diagnosis, and receiving care, she and her husband had trouble getting the documentation so he could continue receiving care closer to home. Verma noted that patients should be able to access their own health information as easily as they access financial information through mobile banking. Creating a system that allows for this sort of access and the ability to share data will mean not only that patients can be better engaged in their healthcare, but also that providers can deliver more coordinated care without ordering repeat tests, and researchers can access more robust data, which will lead to more personalized healthcare. (American Journal of Managed Care, May 31, 2019)

From July 2, 2019
MACRA MIPS/APM eNewsletter #41

The Seven Characteristics of Successful Alternative Payment Models: Designing, Evaluating and Modeling Value-Based Payment Arrangements

Marc Berg
Partner, Healthcare Innovation, McKinsey

Seema Parmar
Associate Partner and Senior Expert, McKinsey

Nick Bluhm
Senior Director, Strategy and Government Policy, Remedy Partners

From June 26, 2019
Bundled Payment Update eNewsletter #124

Providers Are Ready to Shoulder More Downside Risk, Survey Shows
This study by Navigant and HFMA asked 170 hospital and health system finance executives their thoughts and ambitions around risk assumption and found that 72 percent of executives both believe their organizations have the capabilities to support increased risk and plan to take on additional risk in the next one to three years. Click on the above link to see the MedCity News summary of this study.

Click on image to launch an infographic from the study.

(Navigant/hfma, June 2019)

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