Aligning Payers and Partners for Value-based Care

 
 
AHA Knowledge Exchange Aligning Payers and Partners for Value-based Care
 
AHA Knowledge Exchange | Aligning Payers and Partners for Value-based Care

AHA Knowledge Exchange

Hospitals and payers are compelled to align goals and expectations across the care continuum

As the health care field adopts value-based care models, hospitals, providers and payers are compelled to align goals and expectations across the care continuum to increase access to evidence-based, preventive and equitable care. Regulatory and market changes are impacting organizations’ value-based care strategies, calling attention to both challenges and opportunities. Data and analytics measure how initiatives influence consumer experience, patient satisfaction, quality and cost of care. This Knowledge Exchange e-book provides insights on how hospital and health system leaders are investing and partnering in this evolving landscape to create sustainable value for their communities.

Sponsored by: CorroHealth Logo

8 steps hospital and health system leaders are taking toward value-based care

  • Determine areas that could benefit from value-based models such as those with lower outcomes, higher costs, and unwarranted variation in process or supplies.
  • Align on outcomes measures and benchmarks and carefully formulate and define accountability across systems and partners in value-based contracting.
  • Build sufficient volume to support the necessary data analytics, organizational structure and case management function.
  • Change workforce culture to support wellness and support care delivered effectively and efficiently outside the hospital.
  • Identify clinical champions and incentivize physicians and other providers to improve outcomes and standardize clinical care.
  • Engage patients in supporting their own health; work with other community leaders to support a healthier population.
  • Strive to better meet the expectations of your patients and the entire community, learning from data and conversations how your hospital is viewed now, and what they wish could be better.
  • Identify and use robust analytic strategies and risk-based stratification to understand the critical opportunities to improve community health.

Participants

Reg Blaber

Reg Blaber, M.D., MBA

Executive Vice President and Chief Clinical Officer

Virtua Health

David Burwell

David Burwell, M.D., MBA

Vice President of Medical Affairs and Chief Quality Officer

UPMC

Susan Bleasdale Casey

Susan Bleasdale Casey, M.D., FACP, FIDSA

Vice President and Chief of Quality and Safety

University of Maryland Medical Center

John Chessare

John Chessare, M.D., MPH

President and CEO

GBMC HealthCare

Jimmy Chung

Jimmy Chung, M.D., MBA, FACS, CPE

Chief Medical Officer

Advantus Health Partners
Bon Secours Mercy Health

Marty Fattig

Marty Fattig

CEO

Nemaha County Hospital

Raymond Hino

Raymond Hino

CEO

Southern Coos Hospital & Health Center

Melinda Muller

Cheng-Kai Kao, M.D.

Chief Medical Information Officer

UChicago Medicine

 
Carey Ketelsen

Carey Ketelsen, RHIA, CRC

Senior Vice President, Coding Solutions

CorroHealth

 
Doug Koekkoek

Doug Koekkoek, M.D., FACP, SFHM

Chief Physician and Clinical Executive

PeaceHealth

 
Stephen Merz

Stephen Merz, FACHE

Chief Operating Officer

Sheppard Pratt Solutions

 
Jerilyn Morrissey

Jerilyn Morrissey, M.D.

Chief Medical Officer

CorroHealth

 
Esther Muña

Esther Muña, Ph.D., MHA, FACHE

CEO

Commonwealth Healthcare Corp.

 
Brian Nester

Brian Nester, D.O., MBA

President and CEO

Lehigh Valley Health Network

 
Lesley Ogden

Lesley Ogden, M.D., MBA

CEO

Samaritan North Lincoln and Pacific Communities Hospitals

 
Jim Wilson

Jim Wilson, MBA

Chief Financial Officer

Mayo Clinic Health System

 
Suzanna Hoppszallern

Moderator:

Suzanna Hoppszallern

Senior Editor, Center for Health Innovation

American Hospital Association

 

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