Fact Based List:
John Rezen: 7 steps toward a value-based payment model for primary care
Submitted by Charlene Ice on Mon, 06/22/2020 - 12:05
- Establish true patient panels for each primary care physician.
- Agree on the optimal percentage of the healthcare dollar that should go for primary care.
- Adjust each primary care team’s payments to account for the overall health status of the patient panel.
- Set targeted performance levels for quality based on primary care scores under the Merit-based incentive payment system (MIPS).
- Use national primary care patient satisfaction benchmarks to agree on targeted performance levels for service.
- Use current regional healthcare per-member-per-month (PMPM) costs adjusted by the patient-panel-specific RAF score to set a total cost baseline for each primary care team.
- Determine the total value of primary care payments for the period of service.
Notes: Notes: John Rezen, MHA, LSSBB, CRCR, is president and CEO, Value Health, Pinehurst, N.C., and a member of HFMA’s North Carolina Chapter.
Source: HFMA, June 11, 2020
Source URL: https://www.hfma.org/topics/hfm/2020/august/7-steps-toward-c...
List Ratings: |
Lists You Might Also Be Interested In
- Change Healthcare: Five States That Stand out for the Breadth of their Value-Based Initiatives
- PHI: 7 recommendations for states that are developing and implementing value-based payment in home care
- 5 Conceptual Templates For Value-Based Reimbursement
- Managed Healthcare Executive: 5 Best Practices for a Payer's Value-based Care Program
- Christopher Kalkhof's Sampling of 10 Key Strategic Questions to Consider When Transitioning from a Volume-Driven to a Value-Driven Business Model
Login or register to post comments