May 24 2018 | 0 Comments | 124 reads Average Rating: 3
Making Progress? Poll Participants Assess Value-Based Care Efforts
During a recent webinar entitled “Key Levers to Manage The ‘Risk’ in Your Risk-based Contracts,” Rose Higgins, President, SCIO Health Analytics, described how healthcare organizations can succeed under value-based care arrangements by identifying/closing care gaps, implementing population health programs and optimizing network performance. And, Linda Pantovic, Director of Compliance & Risk Adjustment at Scripps Health Plan Services, offered an up-close look at how Scripps is mitigating risk across their organization by focusing on key documentation and coding best practices.
The webinar also provided attendees with the opportunity to offer insight into their own organizations’ progress under value-based care models. Here are the poll results:
According to the poll results, healthcare organizations are struggling to identify where coding and documentation gaps exist as only about 4 in 10 are able to identify gaps at the provider, group and condition level. At the same time, a surprisingly large number – more than one-quarter – reported that they are not able to identify any gaps whatsoever.
Healthcare organizations are also struggling to get a handle on network leakage. Indeed, according to the poll respondents, only about one in four expressed an 51% or better level of confidence in understanding network leakage.
Respondents reported that their organizations are leveraging a variety of tactics to make this happen. It is important to ensure that providers are aware of care and documentation gaps, and can act upon them at the point of care.
Risky Business: Three Key Levers to Successfully Manage Your Risk by Rose Higgins.