In this session, panelists focused on the unique challenges and opportunities facing health systems as they move into value-based care (VBC).
Session panelists included:
- Kate E. Koplan, MD, MPH, FACP, CPPS, Chief Quality Officer, Associate Medical Director of Quality and Patient Safety, The Southeast Permanente Medical Group, Kaiser Permanente Georgia
- Tony Malcoun, Vice President, Advisory Services, Strategy and Growth, Premier Inc.
- Aashish Shah, Corporate Vice President, Strategy, Product Innovation, Payer Contracting and Alignment, HCA Healthcare
- Terri Welter, Partner, ECG Management Consultants
- Moderator: Gary Scott Davis, Partner, McDermott Will & Emery
Top takeaways included:
- From the perspective of a hospital or health system, value-based care means cost reduction, innovation and quality improvement.
- Fee-for-service and valued-based care (i.e., risk payment models) can co-exist. A hospital or health system must consider its patient populations, lines of business and payor mix when determining which model or combination of models to implement.
- Moving forward with the shift to VBC, although non-profit systems have struggled they can still succeed. However, success will depend on a non-profit system’s ability to properly use data and form the right partnerships.
- Patients must be the driver in the transformation of hospitals and health systems into VBC-focused models. A hospital or health system can create patient-centric VBC models by operating from the perspective of patients and empowering patients with information.
- Considerations for building any new partnership models include the use of data, relationship with physicians, communication and payment models.
- Moving forward, a strong sense of partnership (including physician engagement), openness, patient focus and creativity will be important for a hospital or health system to maximize VBC.