Value Based Payments After Covid-19 : Part 2

Part 2 of 3: In this session we will identify the key elements payers and funding sources have focused on during the public health emergency, and which of these are indicators of performance measures to be used in the future.

Is Telehealth the TSA of COVID-19?

Is Telehealth the TSA of COVID-19? THE VBP Blog For those of you who know me personally, you know that being an optimist is my downfall. In times of crisis, the ability to look forward to the forthcoming changes can be challenging.  Mandy, my co-author brings her creativity and technology-savvy perspective to our discussions. Together, we look ahead to the elements we want learn from.  Our starting point for this… Read More »Is Telehealth the TSA of COVID-19?

Onward Means Consumer Protections

Onward Means Consumer Protections THE VBP Blog Over the last few decades, advocates and regulators have worked tirelessly to build in significant protections in the way services are delivered. We’ve been fighting for things such as independent living in the community, smaller group homes, privacy in each room, and community integration. In the current COVID-19 crisis, we see many of these regulations being waived, in the name of emergency flexibility… Read More »Onward Means Consumer Protections

ONWARD Takes On A New Meaning

Onward Takes On A New Meaning! THE VBP Blog Our blog has focused on quality of services and how you can leverage measuring performance to continuously improve satisfaction, support our consumers and keep you ahead of the game.  Today, the challenges you face are monumental, so we will focus on support you and live by our mantra ONWARD! With hourly updates on the COVID-19 situation, having resources you can rely… Read More »ONWARD Takes On A New Meaning

How Did These 6 States Launch I/DD Managed Care?

Break Through Value Based Payments How Did These Six States Launch I/DD Managed Care? The VBP Blog Over the past several weeks we’ve taken deep dives into six states’ working managed care programs. We found some programs that achieved great success and others that stumbled right out of the gate. As managed care programs continue to grow and develop, we will all continue to learn what works and what doesn’t.… Read More »How Did These 6 States Launch I/DD Managed Care?

Looking at States’ Managed Care Programs: Arkansas and Wisconsin

Break Through Value Based Payments Looking at States’ Managed Care Programs: Arkansas and Wisconsin The VBP Blog This week’s blog will break down the Arkansas and Wisconsin I/DD managed care programs. We have covered four states in past blogs including Iowa, Tennessee, Kansas, and Texas. We decided to do these deep dives since every one of the ten states that have tried, are approaching managed care for the I/DD population… Read More »Looking at States’ Managed Care Programs: Arkansas and Wisconsin

Looking at States’ Managed Care Programs: Kansas and Texas

Break Through Value Based Payments Looking at States’ Managed Care Programs: Kansas and Texas The VBP Blog Happy New Year! Let’s start 2020 where we left off in our last blog. We will review two of the ten states that currently are supporting the I/DD population with managed care programs. Using the Ancor 2018 White Paper, combined with our own research, we opted to break down Texas and Kansas. Both contract with Multi-state… Read More »Looking at States’ Managed Care Programs: Kansas and Texas

Looking at States Managed Care Programs: Iowa and Tennessee

Break Through Value Based Payments Looking at States’ Managed Care Programs: Iowa and Tennessee The VBP Blog Managed care has been a slow mover for the I/DD population in multiple states. As of 2019, there are 229,817 Medicaid consumers with an intellectual/developmental disability (I/DD) enrolled in Medicaid managed long-term services and supports (MLTSS) programs.[1] In fact, only ten states have adopted a policy for populations with special needs at all.… Read More »Looking at States Managed Care Programs: Iowa and Tennessee

Quality in I/DD and MLTSS – Part 2

Break Through Value Based Payments Quality Measures for the I/DD and MLTSS Communities – Part 2 The VBP Blog While there are many interesting developments in the MLTSS and Behavioral Health arenas, we wanted to continue the conversation about the measures used in the evaluation of I/DD Services in a managed care environment. In this blog we will share the indicators brought forth by The Council on Quality and Control’s… Read More »Quality in I/DD and MLTSS – Part 2

Laying the Ground Work for I/DD and VBP

Laying the Ground Work for I/DD and VBP There are an estimated 7.3 million people in the United States with an intellectual or developmental disability (I/DD). As we look toward the future of taking care of this large population, states will have to transition from purely Medicaid Managed Care (MMC) to value based care options. Currently states are moving at a slow pace adopting the value-based options for this population. Actually… Read More »Laying the Ground Work for I/DD and VBP

VBP Risk Capitation Pros and Cons

Break Through Value Based Payments Part 10: Risk Capitation Pros and Cons THE VBP BLOG Welcome back to THE VBP Blog Series. Continuing our drill-down into risk-sharing in Value Based Payments, in today’s blog we look at the capitation model. As the ever-challenging task of lowering healthcare costs continues to come to the forefront, organizations may look to capitation, which requires that providers take on the full financial risk for the care of their… Read More »VBP Risk Capitation Pros and Cons

VBP Succeeding with Payment for Outcomes

Breaking Through Value Based Payments Part 7: Succeeding with Payment for Outcomes Value Based Payments are leading us to focus on the outcomes we can deliver and to have providers share in the savings.  However, the real success of payment for outcomes is in better health outcomes, longer periods without a need for higher-level care, and better quality of life for consumers.  The Advocate’s Perspective in this blog focuses on… Read More »VBP Succeeding with Payment for Outcomes

VBP Bundled Payments

Break Through Value Based Payments Part 6: Bundled Payments As we move Onward! Along the continuum of Value Based Payments, we examine Bundled Payments in this installment of our series. We have noted that some of these topics require more depth, so you may see our series expand to 12 or more…. This gives us the opportunity to share and advocate even more. Look for our Advocate Perspective below! Bundled… Read More »VBP Bundled Payments

VBP Payment for Performance

Break Through Value Based Payments Part 5: Payment for Performance We have received very positive response to this series and we continue to see the path of Value Based Payments as a progression, a journey from knowing what you do, how you do it and how well you do it, to capitalizing on the quality of what you share in the value of what you are delivering. Our Advocate’s Perspective is at… Read More »VBP Payment for Performance

Break Through Value Based Payments Part 2: What does it really mean?

Break Through Value Based Payments Part 2: Value Based Payments… What does it really mean? We are proud to include an advocate’s perspective as part of this blog… Read On. The adoption of value-based care is expected to account for 59% of all healthcare payments by 2020. Read that again. Now one more time. Let’s break down how we got here. Traditionally, payment for health services has run on a model called… Read More »Break Through Value Based Payments Part 2: What does it really mean?

Break Through Value Based Payments: A 10-Part Series of Blogs Focusing on VBP

Break Through Value Based Payments A 10-Part Series of Blogs Focusing on VBP Blog 1: An Introduction and Path Onward Value Based Payments (VBPs) are coming: are you ready? We are launching a series of blogs diving into this hot topic to help you understand what it is, why it works, and how it can work for you. We will pepper each blog with relevant facts and finish each with a… Read More »Break Through Value Based Payments: A 10-Part Series of Blogs Focusing on VBP

NCIL Update: Continuing Resolution, House COVID-19 Package

The National Council on Independent Living (NCIL) advances independent living and the rights of people with disabilities. NCIL envisions a world in which people with disabilities are valued equally and participate fully. This week, the NCIL provided updates on the House of Representatives Continuing Resolution, the COVID-19 Relief Bill, and the SCOTUS. Continuing Resolution  As we sent out on September 24, the House passed a Continuing Resolution (CR) to extend… Read More »NCIL Update: Continuing Resolution, House COVID-19 Package

XtraGlobex Welcomes Erin Butrico

XtraGlobex Welcomes Erin Butrico Philadelphia Firm Expands to Meet Demand Across Pennsylvania and Ohio FOR IMMEDIATE RELEASE (Philadelphia, PA, October 5, 2020) XtraGlobex, Inc. today announced the appointment of Erin Butrico as Consulting Associate, to continue to build internal capacity and to respond to the growth in Managed Long Term Services and Supports (MLTSS), Managed Care Readiness in the Intellectual and Developmental Disabilities (I/DD) and Behavioral Health market needs. She… Read More »XtraGlobex Welcomes Erin Butrico

XtraGlobex Provides Analysis of Value Based Payments Projections After COVID-19

The Exclusive Three-Part Series Demonstrates How Practices Set The Pace for Value Based Payments FOR IMMEDIATE RELEASE (Philadelphia, PA, September 24, 2020) XtraGlobex, Inc. has completed a webinar series on Value Based Payments After COVID-19, created for Pennsylvania Behavioral Health and I/DD Providers and provided exclusively to members of The Providers Alliance and MAX Association. The three-part series provides insights into how the response to the public health emergency has… Read More »XtraGlobex Provides Analysis of Value Based Payments Projections After COVID-19

Lockdowns at Nursing Homes and Long-term Care Communities May Lessen COVID-19 Risk, but Patients Suffer in Other Ways

Lockdowns at Nursing Homes and Long-term Care Communities May Lessen COVID-19 Risk, but Patients Suffer in Other Ways The elderly population has been overwhelmingly affected by the COVID-19 Pandemic with those 75 years of age and older accounting for almost 60% of total COVID-19 deaths in the U.S. Nursing homes and long term care facilities have been particularly hard hit. Workers battling on the front lines since the coronavirus entered… Read More »Lockdowns at Nursing Homes and Long-term Care Communities May Lessen COVID-19 Risk, but Patients Suffer in Other Ways

XtraGlobex Analysis of I/DD Managed Care Points to Provider-led Networks

XtraGlobex Analysis of I/DD Managed Care Points to Provider-led Networks TheVBPBlog.com Releases Key Analysis After Reviewing Managed Care Programs in 10 States for Consumers with Intellectual and Developmental Disabilities FOR IMMEDIATE RELEASE (Philadelphia, PA, August 25, 2020) Fady Sahhar, President of XtraGlobex, Inc., announced the completion of a blog series at THEVBPblog.com centered on managed care programs for Consumers with Intellectual and Developmental Disabilities. The analysis reviewed the planning and… Read More »XtraGlobex Analysis of I/DD Managed Care Points to Provider-led Networks

Tips for Maintaining Your Mental Health Amidst the COVID-19 Pandemic

Tips for Maintaining Your Mental Health Amidst the COVID-19 Pandemic 1 in 5 people experience a mental illness throughout their lifetime, but almost everyone faces challenges that impact mental health. The Coronavirus has disrupted our lives and changed our way of living and interacting, causing a “high prevalence” of mental distress in countries across the globe. According to a recent Kaiser Family Foundation survey, 19% of respondents said the current… Read More »Tips for Maintaining Your Mental Health Amidst the COVID-19 Pandemic

PA Organizations, Businesses, and Non-Profits Stepping Up During Coronavirus Pandemic

PA Organizations, Businesses, and Non-Profits Stepping Up During Coronavirus Pandemic The word as we know it has completely changed in a matter of a couple of months. As the Coronavirus Pandemic sweeps through the country and many find themselves struggling to stay afloat, many Pennsylvania organizations, non-profits, and companies are stepping up to provide a helping hand and aid to these in need. In times like these, it is important… Read More »PA Organizations, Businesses, and Non-Profits Stepping Up During Coronavirus Pandemic