Health Care Equity Payment Models

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Building a Health Equity Focus into Value-Based Payment Design

(4 days ago) WebValue-based payment (VBP) models shift health care payment from rewarding volume of care provided (i.e., fee-for-service payment) to rewarding the delivery of higher value care. 1 As the health care system has increased its focus on health equity, many Medicaid …

https://www.chcs.org/resource/building-a-health-equity-focus-into-value-based-payment-design-approaches-for-medicaid-payers/

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A Decade of Value-Based Payment: Lessons Learned …

(7 days ago) WebIntentional design considerations can help assure that payment models support health equity. and capital resources needed to succeed under value-based payment models, health care delivery

https://www.healthaffairs.org/do/10.1377/forefront.20210607.656313/

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The Future of Value-Based Payment: A Road Map to 2030

(1 days ago) WebThe Health Care Payment Learning & Action Network (HCP-LAN) Several mechanisms can tie alternative payment models to health equity. In most cases, APMs can include explicit, direct funding …

https://ldi.upenn.edu/our-work/research-updates/the-future-of-value-based-payment-a-road-map-to-2030/

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Advancing Equity Through Value-Based Payment

(Just Now) WebValue-based payment (VBP) is a powerful and widespread health care transformation movement that has potential to improve health equity.The care delivery and payment flexibility possible under VBP

https://www.healthaffairs.org/content/forefront/advancing-equity-through-value-based-payment-implementation-and-evaluation-support

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Recommendations to Advance Equity Through Payment Models

(Just Now) WebThe Health Care Payment Learning & Action Network (LAN)’s Advancing Health Equity Through APMs: Guidance for Equity-Centered Design and Implementation1 serves as a …

https://www.pbgh.org/wp-content/uploads/2023/12/CQC_EquityPaymentModels_IssueBrief_Final-Dec2023.pdf

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Health Equity Should Be A Key Value In Value-Based …

(8 days ago) WebHealth Equity Should Be A Key Value In Value-Based Payment And Delivery Reform. Sahil Sandhu. Robert S. Saunders. Mark B. McClellan. Charlene A. Wong. November 25, 2020 …

https://www.healthaffairs.org/content/forefront/health-equity-should-key-value-value-based-payment-and-delivery-reform

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PAYMENT REFORM FOR BETTER VALUE AND MEDICAL …

(5 days ago) WebIn tandem, health indicators and outcomes in the US are lagging, including measures of access, efficiency, equity, and quality (IOM and NRC, 2013). And, while these trends could be attributed to myriad Despite recent …

https://www.ncbi.nlm.nih.gov/books/NBK595162/

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Current and Emerging Payment Models AHA

(4 days ago) WebCMS, including through CMMI, is continuing to advocate for continued growth and expansion of value based and alternative payment models. In a strategic plan refresh …

https://www.aha.org/advocacy/current-and-emerging-payment-models

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“REACHing” for Equity - The New England Journal of Medicine

(Just Now) WebAdvancing health equity through partnerships of state Medicaid agencies, Medicaid managed care organizations, and health care delivery organizations, Frontiers …

https://www.nejm.org/doi/full/10.1056/NEJMp2204749

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Aligning Value-Based Payments With Health Equity - JAMA Network

(7 days ago) WebAlthough consensus about the need to reform payment policy around equity has grown, effective reforms must reconcile existing tensions between financial incentives and …

https://jamanetwork.com/journals/jama/fullarticle/2795498

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Paying for Equity in Health and Health Care - The Future of …

(5 days ago) WebPayment systems greatly impact whether and how health care systems use their resources, including nurses, to improve public health.1 Nurses’ ability to address an …

https://www.ncbi.nlm.nih.gov/books/NBK573911/

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The beginner’s guide to new health care payment models

(9 days ago) WebTraditionally, health care providers are paid in a “Fee-for-Service” (FFS) model. This is exactly what it sounds like: every time you have a blood test, a doctor’s …

https://www.brookings.edu/articles/the-beginners-guide-to-new-health-care-payment-models/

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New Medicare ACO payment model targets health equity

(6 days ago) WebThe new Accountable Care Organization (ACO) model will go into effect on January 1, 2023. The REACH model is one of the first new payment models to be …

https://www2.deloitte.com/us/en/blog/health-care-blog/2022/new-medicare-aco-payment-model-targets-health-equity.html

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Advancing Health Equity through APMs - Health Care Payment …

(7 days ago) WebInitiative Description: The HCPLAN’s Health Equity Advisory Team (HEAT) meets regularly to identify and prioritize opportunities to advance health equity through Alternative …

https://hcp-lan.org/advancing-health-equity-through-apms/

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A Call to Advance Equity in Health Care Payment Payment …

(6 days ago) WebTo that end, we call on the health care community to support and commit to advancing health equity in payment – a set of principles, policies, and methods for using health …

https://www.healthequitypayment.org/

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How to address health equity in alternative payment models

(Just Now) WebFirst, APMs should directly reward reductions in health disparities. Second, models should consider how upfront funding can be used for equity purposes, and third, …

https://revcycleintelligence.com/features/how-to-address-health-equity-in-alternative-payment-models

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Health Care Equity & Disparities American Medical Association

(2 days ago) WebEquity in Medical Health Care CME. Health care in America is beset by wide disparities and inequities. Learn how to promote and enhance equity in all health care …

https://www.ama-assn.org/topics/health-care-equity-disparities

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States Advancing All-Payer Health Equity Approaches and …

(5 days ago) WebOn September 5, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new voluntary, state total cost of care (TCOC) model: the States …

https://www.cms.gov/priorities/innovation/innovation-models/ahead

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Developing Primary Care Population-Based Payment Models in …

(8 days ago) WebThis primer explores six key design choices that state Medicaid programs need to make when developing or refining a PBP model and the implications of these choices, …

https://www.chcs.org/resource/developing-primary-care-population-based-payment-models-in-medicaid-a-primer-for-states/

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[PDF] Transforming Health Care Delivery: Innovations in Payment …

(8 days ago) WebBy examining the strengths, limitations, and implications of different payment models we seek to inform policymakers, practitioners, and educators on the path toward …

https://www.semanticscholar.org/paper/Transforming-Health-Care-Delivery%3A-Innovations-in-Khalili/96d64739a597393329fe57162f0fba9107fbfc81

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How Upfront, Predictable Payments Can Improve Primary Care

(Just Now) WebProspective payments create a predictable and reliable funding stream that allows providers to invest in hiring staff, technology, and other clinical and operational …

https://www.commonwealthfund.org/blog/2024/how-upfront-predictable-payments-can-improve-primary-care

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Private Equity and Health Care Delivery: Value-Based Payment as a

(7 days ago) WebPrivate equity investments in health care delivery have increased substantially during the past decade, a trend that has raised concern among some researchers and policy …

https://jamanetwork.com/journals/jama/fullarticle/2783121

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Navigating the Intersection of New Therapies and Payment …

(5 days ago) WebConclusion: The convergence of new therapies and payment models presents both opportunities and challenges for the future of healthcare. While innovative treatments …

https://medtech.gatech.edu/navigating-the-intersection-of-new-therapies-and-payment-models-in-healthcare/

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FACT SHEET: President Biden’s Budget Advances Equity

(7 days ago) WebThe Budget requests $19.4 billion over 10 years for crime prevention strategies and affirms the President’s goal to provide $5 billion over 10 years for …

https://www.whitehouse.gov/omb/briefing-room/2023/03/09/fact-sheet-president-bidens-budget-advances-equity/

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Thinking Ahead on the AHEAD Model: Primary Care AHEAD

(1 days ago) WebConsiderations for States Interested in Applying for the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model . In September …

https://nashp.org/thinking-ahead-on-the-ahead-model-primary-care-ahead/

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Hospitals Face Financial Pressures as Costs of Caring Continue to …

(Just Now) WebHospitals’ labor costs, which on average account for 60% of a hospital’s budget, increased by more than $42.5 billion between 2021 and 2023. Economy-wide …

https://www.aha.org/news/perspective/2024-05-10-hospitals-face-financial-pressures-costs-caring-continue-surge

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New York BH providers achieve success in pay equity for MH, SUD …

(8 days ago) WebA multi-year effort by the New York state behavioral healthcare com-munity to achieve parity between Medicaid and commercial health insurance has finally come to …

https://onlinelibrary.wiley.com/doi/full/10.1002/mhw.34040

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Making Equity Primary In The Making Care Primary Model

(5 days ago) WebWith the changes we have suggested, MCP can directly tie payment to improved equity in health outcomes, thereby advancing health equity and generating …

https://www.healthaffairs.org/content/forefront/making-equity-primary-making-care-primary-model

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Initiative to Increase Equity in Clinical Care: Experience at 1

(Just Now) WebThe National Academy of Medicine, formerly the Institute of Medicine, published 2 landmark reports nearly 20 years ago discussing equity and disparity. The …

https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2023-063096/197282/Initiative-to-Increase-Equity-in-Clinical-Care

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Resource of health equity-related data definitions, standards, …

(Just Now) WebThis document is a technical resource of definitions, standards, and stratification practices for health equity-related data elements that can be used by organizations/entities such …

https://www.cms.gov/files/document/cms-2024-omh-data-definitions.pdf-0

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Closures of Walmart’s health centers reflect the widespread …

(2 days ago) WebA more viable arrangement, Johnson said, is evident in the moves being made by insurers such as Elevance Health, which last month announced a partnership …

https://www.hfma.org/payment-reimbursement-and-managed-care/payment-models/closures-of-walmart-health-centers-reflect-the-widespread-financial-constraints-in-us-healthcare/

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Delivery System Reform Incentive Payment (DSRIP) Programs

(9 days ago) WebDSRIP payment structure . March 24, 2015 7 . Planning Example: •Develop DSRIP plan with local partners Project implementation . Example: •Hiring staff •Building …

https://www.macpac.gov/wp-content/uploads/2015/03/Delivery-System-Reform-Incentive-Payment-DSRIP-Programs.pdf

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Private equity in health care: three takeaways going forward

(9 days ago) WebInvestors in health care businesses can learn (or relearn) from the current state of affairs. Three takeaways are: (1) Health care reimbursement is finite. The goal …

https://www.reuters.com/legal/litigation/private-equity-health-care-three-takeaways-going-forward-2024-05-09/

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Healthcare Equity Conference: A Call to Action to End Disparities

(8 days ago) WebPosted Tue, May 19, 2015 at 3:17 pm ET. In mid-May, the American Conference on Diversity provided a unique learning experience to a full house of healthcare providers …

https://patch.com/new-jersey/woodbridge/healthcare-equity-conference-call-action-end-disparities-0

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Collaborating to Prevent Foster Care Placement and Support …

(7 days ago) WebThe Center for Health Care Strategies (CHCS), with support from Casey Family Programs, interviewed stakeholders across four state agencies and one tribe — California, …

https://www.chcs.org/resource/collaborating-to-prevent-foster-care-placement-and-support-family-well-being/

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Majority of New Jerseyans Worried About Medical and Health …

(5 days ago) WebLarge disparities in how much residents worry about health care costs by race, ethnicity, income, and education. Three-quarters of New Jerseyans say they are either …

https://www.rutgers.edu/news/majority-new-jerseyans-worried-about-medical-and-health-care-costs

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Medicaid Program; Ensuring Access to Medicaid Services

(7 days ago) WebThis final rule takes a comprehensive approach to improving access to care, quality and health outcomes, and better addressing health equity issues in the …

https://www.federalregister.gov/documents/2024/05/10/2024-08363/medicaid-program-ensuring-access-to-medicaid-services

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Horizon Foundation for New Jersey Grants $20,000 to Support Our …

(9 days ago) WebThe American Conference on Diversity is honored to receive a grant of $20,000 from longtime supporter The Horizon Foundation for New Jersey to present two …

https://patch.com/new-jersey/verona/horizon-foundation-for-new-jersey-grants-20000-to-support-our-health-equity-programs_e70949a3

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Good Sam doctor says conditions have hit rock bottom under …

(Just Now) WebTwo years later, the nascent Steward, backed by the private equity company Cerberus Capital Management, bought Good Sam and five other troubled hospitals from …

https://www.enterprisenews.com/story/news/healthcare/2024/05/13/brockton-massachusetts-good-samaritan-hospital-steward-health-care-doctor/73634136007/

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