BPCI Advanced: Archway’s Dave Terry tells you what you need to know (podcast)

Dave Terry. CEO Archway Health

Obamacare appears to be under unrelenting attack, yet the law’s push toward value based payments seems to be alive and reasonably well.  The Center for Medicare & Medicaid Innovation, which was established under Obamacare, has just announced a new episode payment model, called BPCI Advanced.

In this podcast interview, Archway Health CEO Dave Terry talks about the evolution of value based payments, and makes the surprising assertion that voluntary programs may ultimately be more successful in transforming our healthcare system than mandatory ones.

Overview:

  • (0:11) What is value based care?
  • (1:17) When people think about value based payment, usually they think about ACOs. What else is there?
  • (2:15) How are these models evolving?
  • (4:26) Having fewer metrics sounds great. But do the remaining metrics need to be more complex or measured more precisely?
  • (6:18) What’s the connection between value based care and the Affordable Care Act?
  • (8:17) The new program is voluntary, whereas under Obama we were moving toward mandatory programs. What are the implications?
  • (10:18) What is BPCI Advanced? What do providers need to know about it?
  • (12:52) Say more about post acute care. Why can’t post acute providers be episode initiators?
  • (14:17) Explain how DRGs could go from hospital-only to global?
  • (14:50) How is Archway involved in BPCI Advanced?
  • (16:55) Medicare is the driver, but what is the role of commercial payers?


By healthcare business consultant David E. Williams, president of Health Business Group.

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