Transitioning to Value-Based Payment: Five Best Practices for Success

09/17/18 • 14 min

Value-based Payment (VBP) seeks to tie healthcare payment compensation to measurable improvements in the quality of care in an effort to achieve the Triple Aim: an improved care experience, and better health, at an affordable price. Here, DST Health Solutions’ Adele Allison discusses VBP, explaining what it is, what it means for health plans, why it is a good thing, and most importantly what plans can do to build a transition strategy.

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Does Your Strategy for Quality Outcomes Maximize Potential of MTM CMR?

CMS added the MTM CMR completion rate measure to Star Ratings for Medicare plans in 2016. Since then, plans have struggled to reach the cut point to achieve 5 stars. Further changes to the measure create new challenges, but they may also open new doors. By transitioning the MTM CMR measure from process-based to outcomes-based, CMS is setting the stage for plans to consider MTM program as part of the larger strategy.