CEO ADMITS: Payments in Value-Based Contracts Were Actually Fee-For-Service Based

Fee-For-Service Physician Reimbursement Not to be Replaced Anytime Soon!

AN EXPOSE’

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By Eric Bricker MD

VALUE BASED CARE PROPONENTS?

Definition: Value-Based Care (VBC) is a health care delivery model under which providers — hospitals, labs, doctors, nurses and others — are paid based on the health outcomes of their patients and the quality of services rendered. Under some value-based contracts, providers share in financial risk with health insurance companies. In addition to negotiated payments, they can earn incentives for providing high-quality, efficient care.

VBC differs from the traditional fee-for-service model where providers are paid separately for each medical service. While quality care can be provided under both models, it’s the difference in how providers are paid, paired with the way patient care is managed, that provides the opportunity for health improvements and savings in a VBC environment.

DICTIONARY CITATION: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

MEDICAL EXECUTIVE-POST REVIEW:

Advocacy: https://medicalexecutivepost.com/2015/10/19/the-case-for-value-based-medical-care/

Status: https://medicalexecutivepost.com/2018/12/07/the-state-of-value-based-care-vbc/

Transition: https://medicalexecutivepost.com/2017/08/06/transitioning-to-value-based-medical-care-payments/

Physicians: https://medicalexecutivepost.com/2016/02/03/value-based-care-vbc-and-physician-performance/

THE SHOCKING EXPOSE’

But – During a Panel Discussion Captured on YouTube at the 2019 HLTH Conference in Las Vegas, Blue Cross Blue Shield of Arizona CEO Pam Kehaly Admitted that Only 10% of the Payments in Value-Based Contracts Were Value-Based.

So, what gives?

VIDEO: https://www.youtube.com/watch?v=PfAxOpyP-sA

Your thoughts are appreciated.

Product Details

ORDER: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?ie=UTF8&qid=1448163039&sr=8-9&keywords=david+marcinko

THANK YOU

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CDC Mask Update

President Biden Talks Up Benefits of Vaccines After New Mask Guidance

By Dr. David E. Marcinko MBA CMP®

It is time to practice smiling with your teeth again, because the CDC just updated its mask-wearing guidance yesterday from “mostly always” to “mostly just inside.” The agency said that fully vaccinated folks can do the following activities sans masks:

  • Dine outside with non-roommates
  • Go on walks, hikes, or bike rides alone or with household members
  • Attend small, outdoor events, even if some attendees haven’t been vaccinated.

Why now?

29% of Americans are fully vaccinated, and almost 43% have received 1+ dose. Plus, researchers’ understanding of Covid-19 has come a long way since every Amazon package was treated like an Area 51 special delivery, and public health experts say it’s rare for the virus to spread outdoors.

Chenue Her's tweet - "Helpful and easy to follow graphic from the CDC on  the new mask and vaccination guidelines. " - Trendsmap

MIT Experts Speak: https://www.msn.com/en-us/money/other/six-foot-social-distancing-rule-misses-bigger-risks-mit-experts-say/ar-BB1g7bx1?li=BBnb7Kz

Vaccines Need a Marketing Refresh

The pace of vaccinations has slowed down in the US, and the Biden administration hopes that FOMO from seeing vaccinated friends tandem-biking (as friends do) will spur the un-jabbed to act.

Assessment: In the words of President Biden, “For those who haven’t gotten their vaccine yet…this is another great reason to go get vaccinated now.”

Your thoughts are appreciated

THANK YOU

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