Value-Based Care
With the passage of the Affordable Care Act, the U.S. health care delivery system embarked on a path of reform, both in delivery of care and payment models. Value-based health care is a delivery model in which providers are paid based on patient health outcomes versus a fee-for-service approach based on the amount of health care services delivered. At its core, the movement from volume to value is about improving quality and outcomes for patients by focusing on overall wellness and preventive treatments.
Value-based care has the ability to incentivize integration across the care continuum, which in turn promotes efficiency and creates an opportunity to develop comprehensive care plans that meet individuals’ needs. Given the benefits of value-based care to patients, providers, payers, and society as a whole, it is critical a broad array of stakeholders participates in value-based payment reforms — particularly providers that serve low-income, medically complex, marginalized, and underrepresented communities.
Questions
Contact us at info@essentialhospitals.org or 202.585.0100.
CMS to Remove Historical Reports from HQR System
Nov. 2, 2020 ||CMS encourages hospitals to download and save historical reports from the Hospital Quality Reporting system before the reports are removed on Dec. 15.
view more »AHRQ Seeks Nominations for Evidence Reports
June 13, 2018 ||The reports will focus on prevention, diagnosis, treatment, and/or management of a specific condition; individual procedure, treatment, or technology; or organization or financial strategy.
view more »Predicting High-Need Patients Using Readily Available Data
April 18, 2018 ||Researchers at New York University School of Medicine and NYC Health + Hospitals outline a lower-cost method that providers serving vulnerable populations could use to better identify and manage care for their highest needs patients.
view more »Study: Hospitalwide Readmission Measure Harder on Safety Net
Oct. 23, 2017 ||Shifting from condition-specific to hospitalwide measures in the Hospital Readmissions Reduction Program would significantly increase penalties for hospitals with many vulnerable patients.
view more »AHRQ Report Shows Quality Improvements, but Disparities Persist
Aug. 22, 2017 ||The report, mandated by Congress and released by the Agency for Healthcare Research and Quality, found continued gaps in access to care and other health disparities.
view more »AHRQ Program Seeks New Topics for Evidence Review
July 13, 2017 ||The Evidence-Based Practice Centers Program is seeking suggestions for treatment, tests, and methods of health care delivery that should be considered for extensive evaluation.
view more »Online Resources Promote Payment, Care Delivery Reform
May 15, 2017 ||An initiative aims to convene and support an essential providers network to promote payment and delivery reform amid uncertainty surrounding health policy.
view more »NQF Releases Quality Measure Final Recommendations
March 27, 2017 ||Of particular note, NQF’s Measure Applications Partnership acknowledged the need for more research to understand the role of socioeconomic status in health.
view more »ASPE Examines Effects of Social Risk Factors in Medicare Payment Programs
Dec. 22, 2016 ||The report finds that dual enrollment status was “the most powerful predictor of poor outcomes” on many quality measures.
view more »AHRQ Releases ICD-10-Compatible QI Software
July 14, 2016 ||The no-cost, updated quality indicator software is designed to aid quality improvement in acute-care hospital settings. AHRQ will host a July 19 webinar to detail changes to the software.
view more »Center Offers Funding for Payment, Care Delivery Reform
Feb. 23, 2016 ||The National Safety Net Advancement Center at Arizona State University has announced virtual learning collaboratives and grant funding of up to $80,000 for hospitals working to accomplish payment and care delivery reform.
view more »Overall Hospital Star Rating Reports Now Available
Jan. 27, 2016 ||Previews of reports, to be published online in April, available now through QualityNet Secure Portal; final methodology includes 60 measures from inpatient and outpatient quality reporting programs.
view more »The Joint Commission Suspends Top Performer Quality Measures Program
Aug. 26, 2015 ||The program will be re-evaluated, as changes to quality measures has made it difficult to compare hospitals and identify top performers
view more »Essential Hospital Alum Joins NASA Expedition
July 17, 2015 ||A Hennepin County Medical Center former chief resident departs on a new mission to the International Space Station on July 22
view more »CMS Updates Electronic Clinical Quality Measures
May 5, 2015 ||The updates are for 2016 pay-for-performance programs to improve alignment with the latest clinical guidelines
view more »IOM Proposes Standardized Quality Reporting Measures
May 5, 2015 ||IOM recommended a set of 15 core measures to be used across federal quality reporting programs to reduce the administrative reporting burden, allow for nationwide comparisons, and more
view more »‘Most Wired’: Association Members Improving Quality, Safety with IT
July 16, 2014 ||Numerous essential hospitals were named to Hospitals & Health Networks magazine’s list of 2014 most wired hospitals
view more »Idea Boards Spark Simple, Cost-Effective Solutions to Common Problems
July 1, 2014 ||Idea boards have led to more than 2,000 process improvements across five UMass hospitals
view more »Collaborating with Data to Understand and Improve Health
June 24, 2014 ||OSU’s James Cancer Hospital and UC San Diego are using patient health data to improve medical diagnoses and cures
view more »Easily Engage Leadership to Create Accountability and Decrease Hospital-Acquired Infections
May 28, 2014 ||Weekly emails to hospital leaders helped Jackson Health System fight a bacteria that plagued the hospital for two decades
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