Paying for Value Webinar Series: From Concept to Contract Nathan Johnson, Chief Policy Officer, HCA Lou McDermott, PEBB Director, HCA Jeff White, Director of Health Care Strategy, The Boeing Company Moderator: Rachel Quinn, Special Assistant, HCA April 11, 2016
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Paying for Value Webinar Series: From Concept to Contract · Paying for Value Webinar Series: From Concept to Contract Nathan Johnson, Chief Policy Officer, HCA Lou McDermott, PEBB
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Paying for Value Webinar Series: From Concept to Contract
Nathan Johnson, Chief Policy Officer, HCA Lou McDermott, PEBB Director, HCA Jeff White, Director of Health Care Strategy, The Boeing Company Moderator: Rachel Quinn, Special Assistant, HCA
April 11, 2016
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Status Quo (Volume-Based) System Transformed (Value-Based) System
Fragmented clinical and financial approaches to care delivery
Integrated systems that pay for and deliver whole person care
Uncoordinated care and transitions Coordinated care and transitions
Unengaged members left out of their own health care decisions
Engaged and activated members who are connected to the care they need and empowered to take a greater role in their health
Variation in delivery system performance (cost and quality) with no ties to clinical or financial accountability and transparency
Standardized performance measurement with clinical and financial accountability and transparency for improved health outcomes
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National Movement & Commitment to Value
These payment reforms are expected to demonstrate better outcomes and lower costs for patients.
30% In 2016 at least 30% of Medicare payments are linked to quality and value in Alternative Payment Models (APMs) or VBP arrangements.
50% In 2018 at least 50% of Medicare payments are so linked.
Medicare 50% In 2019 at least 50% of commercial health care payments are linked to quality and value in Alternative Payment Models (APMs) or VBP arrangements.
80% In 2019 at least 80% of state-financed health care payments are so linked.
Healthier WA
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HCA Adopted CMS Alternative Payment Model Framework