Eight Signs Volume to Value Is Coming and How to Succeed

There have been many signs that volume to value is coming, and faster than many anticipated, both at the federal level and at the state level.

These include:

  1. Six key principles for success in integrated leadership, recently issued by the American Medical Association (AMA) and the American Hospital Association (AHA), many of which relate to the need to acquire new skills
    and models to deliver value-based care.
  2. A recent proposal by the Centers for Medicare and Medicaid Services (CMS) to modernize Medicaid managed care regulations — the first major update in more than a decade — by supporting states’ efforts to encourage delivery system reform initiatives, strengthening the quality of care provided to beneficiaries, improving consumer experiences, implementing best practices, and more.
  3. A recent announcement by CMS of a new policy that, for the first time, will allow innovators and entrepreneurs to access CMS data. Data and data analysis will play a key role in value-based delivery systems.
  4. A final rule issued by CMS updating the Medicare Shared Savings Program. The rule is aimed at encouraging the delivery of high-quality care for Medicare beneficiaries, focusing on primary care and providing additional flexibility in the program to increase participation.
  5. A recent Blue Cross Blue Shield Association survey showed that $71 billion was spent on patient-centered and value-based programs in 2013. By reducing costly and wasteful care duplication, $1 billion in savings was acheived.
  6. An announcement by the U.S. Department of Health and Human Services earlier this year that outlined goals and a timeline to shift Medicare reimbursement from paying physicians based on the quality of care they deliver rather than the quantity of patients they see.
  7. Physician executives with skills and knowledge in alternative payment models will find themselves as attractive candidates for jobs.
  8. A recent request by the state Department of Human Services seeking feedback that will assist the Department with the development of a Request for Proposal (RFP) for a HealthChoices Physical Health services procurement. The overall goal is to explore new innovative approaches to the delivery and payment of health care services that reward quality and increase access within Medicaid. The deadline to provide feedback is June 26.

It will take investments of your time, energy, money, and the learning of new skill sets to be successful in value-based delivery.

How can you be ahead of the curve and make sure you’re prepared?

Ensure you have the skills necessary to succeed in the transition from volume to value through a CME series of online, on-demand courses and live workshops offered by PAMED. The workshops will be held on Aug. 7 and Oct. 9 at PAMED in Harrisburg, Pa. This series is facilitated by PAMED member Ray Fabius, MD, who is a nationally respected expert in quality and population health. Learn what launched Dr. Fabius into action in his own practice.