CMS has made progress in tackling the daunting issues of developing a meaningful VBP reimbursement scheme. While the ultimate focus of VBP is to improve the fragmented health care system in the U.S., it is also a fight to save Medicare from sinking the national ecconomy even further. Forward thinkers in CMS like Dr. Tom Valuck and Herb Kuhn have led the program from infancy into the early walking stages. Dr. Carolyn Clancy's practice (the Agency for Health Care Research and Quality) is moving the agenda by researching and developing clinical guidelines that will serve as the foundation for VBP. http://www.ahrq.gov/ There is a great unknown however: what is going to happen with a change of administration? The new President will find a robust program in development and while there may be changes in direction, the train seems to have left the station on VBP being the government and private payors choice to reduce health care costs, errors and improve the quality of U.S. health care. The two major presidential candidates have not focused their campaign efforts on Value-Based Purchasing iniatives in any meaningful way. Neither candidate has expressed a reservation that I have seen about the basic concept.
Publications & Presentations
- "The Changing Dynamics of Healthcare Finance and Delivery" Presentation to Texas Association of Health Plans, Bastrop, TX, October 18, 2011
- "Choosing Partners in a Complex Medical World – ACO’s and Other Practice Models” Presentation to Texas Medical Association, San Antonio, TX, July 12, 2011
- "Choosing Partners in a Complex Medical World – ACO’s and Other Practice Models” Presentation to Texas Medical Association, Houston, TX, June 30, 2011
- “Choosing Partners in a Complex Medical World – ACO’s and Other Practice Models” Presentation to Texas Medical Association, Dallas, TX, June 29, 2011
- “Choosing Partners in a Complex Medical World – ACO’s and Other Practice Models” Presentation to Texas Medical Association, Fort Worth, TX, June 28, 2011
- “Choosing Partners in a Complex Medical World – ACO’s and Other Practice Models” Presentation to Texas Medical Association, Lubbock, TX, June 8, 2011
- “Choosing Partners in a Complex Medical World – ACO’s and Other Practice Models” Presentation to Texas Medical Association, Austin, TX, June 7, 2011
- “Choose Your Partners Wisely – Accountable Care Organizations – Friend or PHO?” Presentation to Metroplex Hospital, Killeen, TX, May 23, 2011
- "CMS Value-Based Purchasing Strategies for Success" Presentation to Healthcare Quality (CIHQ), Phoenix, AZ, Pointe Hilton Squaw Peak Resort, May 12, 2011
- "Choose Your Partners Wisely, ACOs and Other Practice Models" TexMed 2011, Houston, Texas, Texas Medical Society, May 13, 2011
- Nelson, Bryn (May 2011) cited in "Value-Based Purchasing Raises the Stakes" The Hospitalist Magazine (Internet)
- "Accountable Care Organizations: Washington Update" Presentation to the Auburn Post Graduate Program , Washington D.C., March 22, 2011
- "Accountable Care Organizations and State Medical Associations" Presentation to American Association of Medical Society Executives, Washington D.C., Omni Hotel, January 18, 2011
- "Accountable Care Organizations" Presentation to the Houston Bar Association, Houston, TX, January 12, 2011
- "Accountable Care Organizations: Opportunity or Threat" Presentation to Texas Medical Association, Dallas, TX, December 14, 2010
- "Accountable Care Organizations: Opportunity or Threat" Presentation to Texas Medical Association, Houston, TX, December 9, 2010
- ”Accountable Care Organizations: Opportunity or Threat" Presentation to Texas Medical Association, Fort Worth, TX, November 18, 2010
- "Accountable Care Organizations: Opportunity or Threat" Presentation to Texas Medical Association, San Antonio, TX, November 11, 2010
- "Accountable Care Organizations: Opportunity or Threat" Presentation to Texas Medical Association, Austin TX, November 4, 2010
- "Accountable Care Organizations-Friend or PHO?" Texas Medical Association - Fall Meeting, Austin, TX, October 16, 2010
- "How Healthcare Reform will Affect Your Business - The Opportunities and Hazzards, Panel Discussion." 2010 Tax Symposium, Dallas, TX, August 23, 2010 and Houston, TX, August 25, 2010
- Hospitals Should Plan Now for Value-Based Purchasing, Which May Be Game-Changer, AIS's Health Reform Week; Volume 1, Number 8 (July 19, 2010)
- “How I Quit Worrying and Learned to Love Health Reform” HFMA Gulf Coast Chapter 2010 Annual Meeting (May 13-14, 2010)
- Quality Based Reimbursement: How Hospitals and Physicians Can Work Together to Affect Quality Care, Southern Medical Association in Conjunction with Auburn University's Physician Executive MBA program, Washington, D.C. (March 24, 2010)
Categories
- Agency for Healthcare Quality & Research
- Anti-Kickback Statute
- Anti-kickback, Stark and Other Regulatory Impediments
- Architecture of a VBP Network
- Business Case for Value Based Purchasing
- Centers for Medicare & Medicaid (CMS)
- Department of Health & Human Services
- Development of a VBP Program
- Federal Trade Commission/Antitrust
- Future of Value Based Purchasing
- Health Care Exchange
- Health Information Technology
- Insurance Regulation
- Legislative Updates
- Litigation
- Malpractice Risks
- Medicaid
- Medicare
- National Committee for Quality Assurance (NCQA)
- Patient Protection and Affordable Care Act (PPACA)
- Pending Legislation
- Physician Quality Reporting Intiative/PQRS
- Recovery Audit Contractor Program
- Stark Law
- Tax Exempt Hospitals
- Value Based Purchasing
- What is Value-Based Purchasing?
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