Value-Based Reimbursement Answer Book Provides Framework for Healthcares New Value Proposition
Summary
Quote Attributable to Melanie Matthews, HIN Executive VP and COO: "While public and private healthcare payors increasingly reward value over volume, much of the industry remains fixed in a Fee for Service world.The Value-Based Reimbursement Answer Book is a quick reference to the top queries we receive on emerging payment models, from the recommended frequency of provider payouts to crafting a time line for a pay for performance program to mining non-EHR sources for patient and quality data.For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 449-4463, e-mail info@hin.com, or visit http://www.hin.com.Sea Girt, NJ, November 10, 2014 --( PR.com )-- The healthcare industry trend toward fee for quality has raised questions from payors and providers alike on how to transition to and profit from a value-based delivery system.The "Value-Based Reimbursement Answer Book: 97 FAQs on Healthcare Models, Measures and Methodologies" tackles these concerns, mining the experiences of nearly a dozen healthcare thought leaders, who share expertise and best practices on payment models, quality metrics, methodologies and provider engagement tactics.This 65-page report draws from initiatives at WellPoint, Highmark, and Blue Cross Blue Shield of Michigan, and offers advice from Optum, Navigant, Healthcare Strategy Group and others, structuring experts give-and-take in an easy-to-follow Q&A format.Get answers to frequently asked questions about value-based healthcare and reimbursement at http://store.hin.com/product.asp?itemid=4950Newa Facts: The Value-Based Reimbursement Answer Book is divided into five key sections: Value-Based Reimbursement Models, Metrics and Risk Measurement, Provider Engagement and Education, Methodologies and Data Analytics, and Provider-Specialist Collaborations.A sampling of queries addressed in this Answer Book includes the following:-What are guidelines for specialist compensation?-How do you measure Meaningful Use improvement?-What are common struggles of physician practices in value-based models?-What types of data exchange facilitate value-based reimbursement?-What are components of the care compact between specialists and primary care providers in WellPoints medical home neighborhood?Contributors:-Travis Ansel, MBA, manager of strategic services, Healthcare Strategy Group;-Julie Hobson, RN, BSN, manager of provider engagement, performance and partnership at Highmark Inc.;-Cynthia Kilroy, senior vice president of provider strategy and business development at Optum;-Robert Krebbs, director of payment innovation at WellPoint, Inc.,;-Terry McGeeney, MD, MBA, director of BDC Advisors;-Gregory Mertz, MBA, FACMPE, managing director of Physician Strategies Group, LLC;-Donna Saxton, field team manager, Blue Cross Blue Shield of Michigan (BCBSM) value partnerships program;-Julie Schilz, director of care delivery transformation for WellPoint;-Catherine Sreckovich, managing director, healthcare, Navigant;-Jay Sultan, associate vice president and chief product portfolio architect for TriZetto®; and-Steven Valentine, president, The Camden Group.Report Formats: Print, Instant PDF Download or Enterprise Site License.Quote Attributable to Melanie Matthews, HIN Executive VP and COO:"While public and private healthcare payors increasingly reward value over volume, much of the industry remains fixed in a Fee for Service world.The Value-Based Reimbursement Answer Book is a quick reference to the top queries we receive on emerging payment models, from the recommended frequency of provider payouts to crafting a time line for a pay for performance program to mining non-EHR sources for patient and quality data.