Despite all the noise and dysfunction on healthcare in Washington, DC, the move toward value based payments is continuing apace. But providers and payers continue to straddle the fee-for-service and value-based worlds, slowing and complicating the transition.
MediQuire helps providers and payers measure, improve and get financial reward for improvements in performance and patient outcomes. In this podcast interview, CEO Emily Chen and I discuss:
The current state of affairs in value-based payment
How the value-based movement has changed (or not) since the new administration arrived in office
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.
(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?