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ClinOps I.M.P.A.C.T. Summaries: Trends in Value-Based Healthcare - November 2017

Keeping Leaders Informed of Operational Trends and Practices that I.M.P.A.C.T. and Contribute to Value-Based Health Care (VBHC).

 

 

 

 

 

In this issue, learn about the following Trends and Practices that I.M.P.A.C.T. and Contribute to VBHC:

 

1.    INFRASTRUCTURE:

 

Surescripts joins Epic, CVS to deliver drug pricing info in EHRs:

‘Working with EHR vendors and pharmacy benefit managers, Surescripts will provide real-time patient-specific benefit and price information to providers at the point of care. Once integrated with the EHR, patients and doctors will also be able to see information and pricing on alternative drug options.’ Learn more

 

The Growing Value of Digital Health - Evidence and Impact on Human Health and the Healthcare System:

The proliferation of Digital Health tools, including mobile health apps and wearable sensors, holds great promise for improving human health. Over 318,000 health apps are now available on top app stores worldwide with more than 200 health apps being added each day. This report on Digital Health examines trends in three areas — innovation, evidence and adoption — to assess whether these new tools are positioned to have a fundamental impact on patient care. Learn more

 

Behavioral economics and big data may improve health and reduce healthcare costs:

In Iceland’s capital, Reykjavik, a combination of behavioral economics, big data and mobile technology is a promising way forward to identify individuals at increased risk of lifestyle-related diseases and reverse their condition. Learn more

 

 

2.    MEMBER EXPERIENCE:

 

3 Tips for Nurses to Improve Patient Satisfaction, Experience:

Nurses are critical to creating a positive patient experience, and strong nurse communication can improve patient satisfaction scores. Learn more

 

It’s ACA Sign Up Season: Here’s What Members and Patients Need To Know This Year – 2018.  Click Here

 

Medicare Vs. Medicare Advantage: How To Choose:

Despite Medicare Advantage plans’ increasing popularity, several features — notably, the costs that older adults face in these plans and the extent to which members’ choice of doctors and hospitals is restricted — remain poorly understood. Here are some essential facts to consider: Learn more

 

 

3.    PEOPLE:

 

Four traits bold leaders possess – Learn more

 

This Is the 1 Habit All Successful People Live By:

Look around. You'll see it everywhere. Learn more

 

 

4.    PERFORMANCE:

 

CMS unveils final MACRA implementation rule: 10 changes to the Quality Payment Program:

The 1,658-page final rule (PDF) includes a comment period through Jan. 1, 2018, about the second year and future years of the Quality Payment Program, an initiative established under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) to reward physicians for value and outcomes either through the Merit-based Incentive Payment System and Advanced Alternative Payment Models. Learn more

 

CMS releases final OPPS rule for 2018: 8 things to know:

Here are eight things to know about the 1,133-page final rule – Learn more

 

 

5.    AFFORDABILITY AND VALUE:

 

CMS Finalizes Medicare Part B Reimbursement Cut for 340B – What Does it Mean?

CMS is finalizing a change to the payment rate for certain Medicare Part B drugs purchased by hospitals through the 340B Program in order to lower the cost of drugs for Medicare beneficiaries. Learn more

 

Novel Cancer Drugs Must Adopt Value-Based Pricing:

‘In a new study, the 28-day cost of drugs approved between 2006 and 2015 increased by 98% during this 10-year period, whereas the American Society of Clinical Oncology (ASCO) and the European Society for Medical Oncology (ESMO) scores, which measure clinical benefit, decreased by 32% and 13%, respectively.’ Learn more

 

Why CMS should get in on payer, hospital quality partnerships to cut costs:

Michigan's Value Partnership program focuses on procedural care, which accounts for more than 50 percent of national healthcare expenses. Learn more

 

6.    COMMUNITY:

 

Community organizations help low-income cancer patients stay healthy after treatment:

‘For many of the women who have sought help at Sisters 4 Cure, a not-for-profit organization based in Milwaukee, beating cancer was only the half of it. They turned to Sisters 4 Cure for emotional support and lifestyle coaching after undergoing cancer treatment and were in remission. That's because patients can face a host of health issues resulting from chemotherapy and radiation treatments, including chronic pain or heart conditions. There is also the mental and financial toll cancer can have on patients, who may suffer from depression, stress and loneliness after treatment.’ Learn more

 

Achieving Health Equity - A Guide for Health Care Organizations:

Significant disparities in life expectancy and other health outcomes persist across the United States. This white paper provides guidance on how health care organizations can reduce health disparities related to racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion. Learn more

 

7.    TRANSFORMATION:

 

Stem the Tide: Addressing the Opioid Epidemic:

‘The AHA is on a mission to advance the health of individuals and communities in America. We hope you find the opioid toolkit to be a valuable resource in supporting your initiatives to address the opioid epidemic and making your community healthier.’ Click here for the toolkit

 

CVS Health partners with Northside Center in support of mental health clinics:

Northside Center for Child Development earlier this week announced a new partnership with CVS Health to expand mental health clinics in public and charter schools across New York City. Learn more

 

 

Top heart hospitals zero in on continuum of care:

Focus on the continuum of care is in line with the move to value-based payment, said Jean Chenoweth, senior vice president of the Center for Performance Improvement at IBM Watson Health. "Value is starting to increase over time," Chenoweth said. "When hospitals are focused on the continuum of care and they don't let it go, they maintain their focus on that quality of care and the industry changes as a whole." Learn more

 

 

 

 

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