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.
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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 »
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 »
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 »
An initiative aims to convene and support an essential providers network to promote payment and delivery reform amid uncertainty surrounding health policy.view more »
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 »
The report finds that dual enrollment status was “the most powerful predictor of poor outcomes” on many quality measures.view more »
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 »
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 program will be re-evaluated, as changes to quality measures has made it difficult to compare hospitals and identify top performersview more »
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 moreview more »
Numerous essential hospitals were named to Hospitals & Health Networks magazine’s list of 2014 most wired hospitalsview more »
Idea boards have led to more than 2,000 process improvements across five UMass hospitalsview more »
OSU’s James Cancer Hospital and UC San Diego are using patient health data to improve medical diagnoses and curesview more »
Weekly emails to hospital leaders helped Jackson Health System fight a bacteria that plagued the hospital for two decadesview more »
UNM School of Medicine develops full-year seminar on patient safety and health care qualityview more »
The second annual update outlined efforts to align and track quality measuresview more »