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What if we changed how we pay for care?

Cooper and Nicole welcome Mark Sharp and Raymond Belles with BKD for a chat on their findings after analyzing data on patient outcomes and payment data.

For the longest time we were focused on visits per episode in home health. For years we have had quality data and now CMS has afforded us the ability to take claims data into an interactive dashboard across the continuum of care.  Dare to ask…  what is my contribution as an organization in the spend for an overall patient in a period of time and compare to those in my market?  Am I contributing to the patient in a positive way?

Looking at this from a big picture triple-aim perspective is key:  1. clinical outcomes  2. good patient experience 3. least amount of spend from that payor to get those results.    When we talk about looking at overall spend we often have a reactionary response to that. Folks automatically feel we are looking at decreasing quality of care when we look at the per patient spend.

Typically organizations are servants to their revenue lines VS  the masters of their value proposition to the patient and the larger system.   If you don’t create a value proposition to the greater continuum  you may be left behind as a community-based organization.

 

Check out this episode on Libsyn

1 Comment
  • Anne Marie Adiletta
    Posted at 06:49h, 20 February

    As a home health clinical manager for an agency associated with a large health system, I appreciated this podcast; I agree that we need engage our agency at all levels and provide meaningful education to help them understand the value they bring to the bigger picture, including the value we add to our health system and the importance of that relationship. Thank you so much for sharing this information.

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