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Executive Briefing

Preparing For Value-Based Reimbursement—Even Before The Contracts Are Signed

By Sarah C. Threnhauser, MPA

This week, I’ve heard a lot of conversations about value-based reimbursement (VBR) that have ranged from, “We don’t have the ability to track, let alone report, these types of performance measures”, to “we’re as ready as we are ever going to be.” But the big question is what should executive teams be doing now to ensure that their organization is positioned and prepared for VBR, even if they don’t have risk-based contracts yet. OPEN MINDS advisory board member Ken Carr answered that question at The 2018 OPEN MINDS Management Best Practices Institute in his seminar, How To Prepare For & Succeed With Value-Based Reimbursement: An OPEN MINDS Executive Seminar On Organizational Readiness For Value-Based Contracting. Mr. Carr shared three steps to keep the momentum...

Accountable care organizations (ACOs) are groups of health care professionals and/or provider organizations, such as physicians and hospital systems, that form an agreement to coordinate care for a set group of consumers. If the ACO delivers high quality care, measured through performance metrics, and lowers the cost of providing care against a baseline, then the organization receives a portion...
On July 17, 2018, the Centers for Medicare & Medicaid Services (CMS) approved a Washington State Medicaid 1115 waiver request to launch an addiction treatment demonstration project. The demonstration will run through December 31, 2021. The Washington State Health Care Authority (HCA) plans to build upon a continuum of outpatient, residential, and inpatient services for adult Medicaid beneficiaries diagnosed...

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